Provider Demographics
NPI:1326503129
Name:ACCESS IN HOME CARE REFERRAL AGENCY, LLC
Entity Type:Organization
Organization Name:ACCESS IN HOME CARE REFERRAL AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HUMAN RESOURCES
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-621-5005
Mailing Address - Street 1:25245 WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2437
Mailing Address - Country:US
Mailing Address - Phone:661-621-5005
Mailing Address - Fax:800-739-0236
Practice Address - Street 1:25245 WHEELER RD
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2437
Practice Address - Country:US
Practice Address - Phone:661-621-5005
Practice Address - Fax:800-739-0236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management