Provider Demographics
NPI:1376900407
Name:ACCESSIBLE HOME CARE REGISTRY, LLC
Entity Type:Organization
Organization Name:ACCESSIBLE HOME CARE REGISTRY, LLC
Other - Org Name:ACCESSIBLE NURSE REGISTRY OF PALM BEACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVRET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-413-0439
Mailing Address - Street 1:2240 W WOOLBRIGHT RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6332
Mailing Address - Country:US
Mailing Address - Phone:561-413-0439
Mailing Address - Fax:561-777-7437
Practice Address - Street 1:2240 W WOOLBRIGHT RD
Practice Address - Street 2:SUITE 208
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6332
Practice Address - Country:US
Practice Address - Phone:561-413-0439
Practice Address - Fax:561-777-7437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health