Provider Demographics
NPI:1053088666
Name:ACERS HOME HEALTHCARE AGENCY LLC
Entity Type:Organization
Organization Name:ACERS HOME HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:OLASUMBO
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-516-9811
Mailing Address - Street 1:6807 AUGUSTA PINES PKWY E
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4058
Mailing Address - Country:US
Mailing Address - Phone:480-516-9811
Mailing Address - Fax:
Practice Address - Street 1:6807 AUGUSTA PINES PKWY E
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77389-4058
Practice Address - Country:US
Practice Address - Phone:480-516-9811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health