Provider Demographics
NPI:1083749816
Name:AHCS INC
Entity Type:Organization
Organization Name:AHCS INC
Other - Org Name:ACADEMIC HOMECARE & SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-780-4414
Mailing Address - Street 1:59 THROCKMORTON ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1946
Mailing Address - Country:US
Mailing Address - Phone:732-780-4414
Mailing Address - Fax:732-577-1388
Practice Address - Street 1:59 THROCKMORTON ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1946
Practice Address - Country:US
Practice Address - Phone:732-780-4414
Practice Address - Fax:732-577-1388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7172109Medicaid
NJ7172109Medicaid