Provider Demographics
NPI:1407313281
Name:ACCESS FAMILY CARE, INC.
Entity Type:Organization
Organization Name:ACCESS FAMILY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMANAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-583-9254
Mailing Address - Street 1:4051 JUNCTION BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-2121
Mailing Address - Country:US
Mailing Address - Phone:917-583-9254
Mailing Address - Fax:
Practice Address - Street 1:4051 JUNCTION BLVD FL 2
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-2121
Practice Address - Country:US
Practice Address - Phone:917-583-9254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care