Provider Demographics
NPI:1598951287
Name:ACHIEVE HOME CARE, LLC
Entity Type:Organization
Organization Name:ACHIEVE HOME CARE, LLC
Other - Org Name:CHAPTERS HEALTH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF COMPLIANCE & CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:PAMELA
Authorized Official - Last Name:SAUCIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-871-8031
Mailing Address - Street 1:12470 TELECOM DRIVE, STE 300 WEST
Mailing Address - Street 2:ATTN: LEGAL
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12470 TELECOM DRIVE, STE 400 EAST
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33637
Practice Address - Country:US
Practice Address - Phone:813-969-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109193Medicare PIN