Provider Demographics
NPI:1417027269
Name:ACCESS QUALITY THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:ACCESS QUALITY THERAPY SERVICES, LLC
Other - Org Name:CARE OPTIONS FOR KIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL DIRECTOR OF COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:INDIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHABIR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-260-3282
Mailing Address - Street 1:816 CAMARON ST STE 2.32
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-5108
Mailing Address - Country:US
Mailing Address - Phone:210-349-0096
Mailing Address - Fax:210-349-0097
Practice Address - Street 1:816 CAMARON ST STE 2.32
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5108
Practice Address - Country:US
Practice Address - Phone:210-349-0096
Practice Address - Fax:210-349-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006916251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1624256-01Medicaid
TX679423Medicare ID - Type Unspecified