Provider Demographics
NPI:1225646615
Name:ACCESS CARE INC.
Entity Type:Organization
Organization Name:ACCESS CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HAMDIYA
Authorized Official - Middle Name:I
Authorized Official - Last Name:AHMAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-297-2466
Mailing Address - Street 1:4109 SCOTT AVE N
Mailing Address - Street 2:
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-1752
Mailing Address - Country:US
Mailing Address - Phone:952-297-2466
Mailing Address - Fax:
Practice Address - Street 1:4109 SCOTT AVE N
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-1752
Practice Address - Country:US
Practice Address - Phone:952-297-2466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN6904328Medicaid