Provider Demographics
NPI:1326321522
Name:ACS HOME CARE LLC
Entity Type:Organization
Organization Name:ACS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PATIENT CARE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MACEDONIO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:631-651-2778
Mailing Address - Street 1:256 MAIN ST
Mailing Address - Street 2:SUITE 1109
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1733
Mailing Address - Country:US
Mailing Address - Phone:631-651-2778
Mailing Address - Fax:631-261-5750
Practice Address - Street 1:256 MAIN ST
Practice Address - Street 2:SUITE 1109
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-1733
Practice Address - Country:US
Practice Address - Phone:631-651-2778
Practice Address - Fax:631-261-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health