Provider Demographics
NPI:1003363698
Name:ACCUMULACARE AGENCY LLC
Entity Type:Organization
Organization Name:ACCUMULACARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:LYMS
Authorized Official - Middle Name:
Authorized Official - Last Name:SATINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-967-9400
Mailing Address - Street 1:5019 WAKEFILED ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144
Mailing Address - Country:US
Mailing Address - Phone:215-967-9400
Mailing Address - Fax:
Practice Address - Street 1:5019 WAKEFIELD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-1824
Practice Address - Country:US
Practice Address - Phone:215-967-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30413601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health