Provider Demographics
NPI:1114404829
Name:ACCOUNTABLE HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:ACCOUNTABLE HOME CARE SERVICES LLC
Other - Org Name:ACCOUNTABLE HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PERKALOAH
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:QUEEGLAY-TARPEH
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:612-387-6629
Mailing Address - Street 1:19485 BOSTON ST NW
Mailing Address - Street 2:
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-4121
Mailing Address - Country:US
Mailing Address - Phone:612-387-6629
Mailing Address - Fax:763-276-1206
Practice Address - Street 1:19485 BOSTON ST NW
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-4121
Practice Address - Country:US
Practice Address - Phone:612-387-6629
Practice Address - Fax:763-276-1206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2020-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health