Provider Demographics
NPI:1114152295
Name:ACCLAIM HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:ACCLAIM HOME CARE SERVICES, INC.
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-780-3717
Mailing Address - Street 1:6412 N UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321
Mailing Address - Country:US
Mailing Address - Phone:954-780-3717
Mailing Address - Fax:954-780-7199
Practice Address - Street 1:6412 N UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 130
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321
Practice Address - Country:US
Practice Address - Phone:954-780-3717
Practice Address - Fax:954-780-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992969251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health