Provider Demographics
NPI:1598076911
Name:ACCESSIBLE HEALTHCARE, INC
Entity Type:Organization
Organization Name:ACCESSIBLE HEALTHCARE, INC
Other - Org Name:BRIGHTSTAR OF GREATER WAUKESHA & LAKE COUNTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:KOBY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:262-408-5745
Mailing Address - Street 1:N27W23960 PAUL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-6233
Mailing Address - Country:US
Mailing Address - Phone:262-408-5745
Mailing Address - Fax:262-436-2117
Practice Address - Street 1:N27W23960 PAUL RD STE 200
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-6233
Practice Address - Country:US
Practice Address - Phone:262-408-5745
Practice Address - Fax:262-436-2117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI09182007251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health