Provider Demographics
NPI:1508267444
Name:ACCESS HOME HEALTH CARE AND REHABILITATION, LLC
Entity Type:Organization
Organization Name:ACCESS HOME HEALTH CARE AND REHABILITATION, LLC
Other - Org Name:ACCESS HOME HEALTH CARE AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LINEBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:276-233-6559
Mailing Address - Street 1:1123 E STUART DR
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-2513
Mailing Address - Country:US
Mailing Address - Phone:276-266-3149
Mailing Address - Fax:276-266-3150
Practice Address - Street 1:1123 E STUART DR
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2513
Practice Address - Country:US
Practice Address - Phone:276-266-3149
Practice Address - Fax:276-266-3150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO 151229251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497713Medicare Oscar/Certification