Provider Demographics
NPI:1073707055
Name:ACCUCARE, INC.
Entity Type:Organization
Organization Name:ACCUCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BATRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-452-6356
Mailing Address - Street 1:144 MERRIMACK ST STE 404
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1709
Mailing Address - Country:US
Mailing Address - Phone:617-783-7177
Mailing Address - Fax:617-783-7188
Practice Address - Street 1:144 MERRIMACK ST STE 404
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1709
Practice Address - Country:US
Practice Address - Phone:617-783-7177
Practice Address - Fax:617-783-7188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110075035CMedicaid
MA1906623Medicaid