Provider Demographics
NPI:1326126319
Name:ACCU CARE HOME HEALTH SERVICE
Entity Type:Organization
Organization Name:ACCU CARE HOME HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-242-5860
Mailing Address - Street 1:8300 BISSONNET ST STE 378
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3995
Mailing Address - Country:US
Mailing Address - Phone:409-242-5860
Mailing Address - Fax:409-347-8663
Practice Address - Street 1:8300 BISSONNET ST STE 378
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3995
Practice Address - Country:US
Practice Address - Phone:409-242-5860
Practice Address - Fax:409-347-8663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 305S00000X, 372600000X, 374U00000X, 376J00000X
TX009075251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No305S00000XManaged Care OrganizationsPoint of Service
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8200169OtherEVERCARE
HH441HOtherBLUE CROSS
673159Medicare ID - Type Unspecified