Provider Demographics
NPI:1093579807
Name:ACH HOME SERVICES LLC
Entity Type:Organization
Organization Name:ACH HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATRESE
Authorized Official - Middle Name:LAKAIN
Authorized Official - Last Name:RIDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:948-210-4199
Mailing Address - Street 1:418 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5315
Mailing Address - Country:US
Mailing Address - Phone:948-210-4199
Mailing Address - Fax:757-809-1822
Practice Address - Street 1:418 JACKSON ST
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5315
Practice Address - Country:US
Practice Address - Phone:948-210-4199
Practice Address - Fax:757-809-1822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health