Provider Demographics
NPI:1255659520
Name:ACCOLADE HOME MEDICAL, LLC
Entity Type:Organization
Organization Name:ACCOLADE HOME MEDICAL, LLC
Other - Org Name:DMED OF DARKE COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKERILL
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RPSGT
Authorized Official - Phone:614-410-1466
Mailing Address - Street 1:PO BOX 418
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-0418
Mailing Address - Country:US
Mailing Address - Phone:614-410-1266
Mailing Address - Fax:614-410-3459
Practice Address - Street 1:937 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1102
Practice Address - Country:US
Practice Address - Phone:937-383-6655
Practice Address - Fax:937-383-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRSOX.021823750332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHEFZM119OtherUID