Provider Demographics
NPI:1164769899
Name:ACCESS HOME CARE, INC.
Entity Type:Organization
Organization Name:ACCESS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GENNADIY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-388-1001
Mailing Address - Street 1:5525 HARBISON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-1552
Mailing Address - Country:US
Mailing Address - Phone:267-388-1001
Mailing Address - Fax:215-376-6940
Practice Address - Street 1:5525 HARBISON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-1552
Practice Address - Country:US
Practice Address - Phone:267-388-1001
Practice Address - Fax:215-376-6940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA23853601251B00000X, 251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA23853601OtherPA DEPARTMENT OF HEALTH