Provider Demographics
NPI:1255848362
Name:ACCELERATED HEALTH SERVICES
Entity Type:Organization
Organization Name:ACCELERATED HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IBIDUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ILORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-848-1474
Mailing Address - Street 1:15411 ARBORY WAY
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5521
Mailing Address - Country:US
Mailing Address - Phone:240-848-1474
Mailing Address - Fax:
Practice Address - Street 1:15411 ARBORY WAY
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5521
Practice Address - Country:US
Practice Address - Phone:240-848-1474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR457189123253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD014320268OtherHOME HEALTH
MD014320268OtherHOME HEALTH