Provider Demographics
NPI:1992726806
Name:ACCESS PROVIDER SERVICES LLC
Entity type:Organization
Organization Name:ACCESS PROVIDER SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SNAVELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-571-0086
Mailing Address - Street 1:4509 RENAISSANCE PKWY
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5701
Mailing Address - Country:US
Mailing Address - Phone:216-571-0086
Mailing Address - Fax:866-568-4793
Practice Address - Street 1:4509 RENAISSANCE PKWY
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-5701
Practice Address - Country:US
Practice Address - Phone:216-571-0086
Practice Address - Fax:866-568-4793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1806111251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2469645Medicaid