Provider Demographics
NPI:1609178060
Name:5M HOME CARE LLC
Entity Type:Organization
Organization Name:5M HOME CARE LLC
Other - Org Name:ACCESSIBLE HOME HEALTH CARE OF SOUTHERN NJ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOWALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-414-0004
Mailing Address - Street 1:1050 KINGS HWY N
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1909
Mailing Address - Country:US
Mailing Address - Phone:856-414-0004
Mailing Address - Fax:856-414-0002
Practice Address - Street 1:1060 N KINGS HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1910
Practice Address - Country:US
Practice Address - Phone:856-414-0004
Practice Address - Fax:856-414-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health