Provider Demographics
NPI:1275906018
Name:ACHILLES HEALTH CARE LLC
Entity Type:Organization
Organization Name:ACHILLES HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:BEENY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-798-4544
Mailing Address - Street 1:7816 INVERNESS
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-6473
Mailing Address - Country:US
Mailing Address - Phone:817-798-4544
Mailing Address - Fax:
Practice Address - Street 1:7816 INVERNESS
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-6473
Practice Address - Country:US
Practice Address - Phone:817-798-4544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302R00000X302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization