Provider Demographics
NPI:1003565540
Name:ACCENTCARE OF MASSACHUSETTS, INC.
Entity Type:Organization
Organization Name:ACCENTCARE OF MASSACHUSETTS, INC.
Other - Org Name:ACCENTCARE PERSONAL CARE SERVICES OF MASSACHUSETTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP PCS MARKET DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LISKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-303-6448
Mailing Address - Street 1:21 FATHER DEVALLES BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1519
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21 FATHER DEVALLES BLVD STE 103
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1519
Practice Address - Country:US
Practice Address - Phone:781-551-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care