Provider Demographics
NPI:1366630865
Name:A C HEALTH SERVICE, INC.
Entity Type:Organization
Organization Name:A C HEALTH SERVICE, INC.
Other - Org Name:ANNIECARRIE HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:REGENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCURDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-231-6308
Mailing Address - Street 1:15322 WATERLOO RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-1723
Mailing Address - Country:US
Mailing Address - Phone:216-231-6308
Mailing Address - Fax:216-231-7027
Practice Address - Street 1:15322 WATERLOO RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-1723
Practice Address - Country:US
Practice Address - Phone:216-231-6308
Practice Address - Fax:216-231-7027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1558817251E00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2603945Medicaid
OH2601830Medicaid