Provider Demographics
NPI:1376199430
Name:ACCESS HOMEHEALTH LLC
Entity Type:Organization
Organization Name:ACCESS HOMEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-501-0484
Mailing Address - Street 1:393 DUNLAP ST N STE 400I
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4235
Mailing Address - Country:US
Mailing Address - Phone:612-501-0484
Mailing Address - Fax:
Practice Address - Street 1:393 DUNLAP ST N STE 400I
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4235
Practice Address - Country:US
Practice Address - Phone:612-501-0484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health