Provider Demographics
NPI:1578325320
Name:ACCOMMODATE MEDICAL CONCIERGE
Entity Type:Organization
Organization Name:ACCOMMODATE MEDICAL CONCIERGE
Other - Org Name:ACCOMMODATE MEDICAL CONCIERGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LASHONDA
Authorized Official - Middle Name:MICHILL
Authorized Official - Last Name:JACKSON-DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:DM, MBA, CPT, CIVT
Authorized Official - Phone:713-791-2806
Mailing Address - Street 1:11811 EAST FWY STE 325
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-1982
Mailing Address - Country:US
Mailing Address - Phone:832-384-6792
Mailing Address - Fax:877-384-2805
Practice Address - Street 1:11811 EAST FWY STE 325
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1982
Practice Address - Country:US
Practice Address - Phone:832-384-6792
Practice Address - Fax:877-384-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Multi-Specialty
No247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Multi-Specialty
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGeneticsGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care