Provider Demographics
NPI:1689723207
Name:ACCURATE HOME CARE, LLC
Entity Type:Organization
Organization Name:ACCURATE HOME CARE, LLC
Other - Org Name:ACCURATE PCA SERVICES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-633-3800
Mailing Address - Street 1:9000 QUANTRELLE AVE NE STE 200
Mailing Address - Street 2:
Mailing Address - City:OTSEGO
Mailing Address - State:MN
Mailing Address - Zip Code:55330-1041
Mailing Address - Country:US
Mailing Address - Phone:763-633-3800
Mailing Address - Fax:763-633-3808
Practice Address - Street 1:9000 QUANTRELLE AVE NE STE 200
Practice Address - Street 2:
Practice Address - City:OTSEGO
Practice Address - State:MN
Practice Address - Zip Code:55330-1022
Practice Address - Country:US
Practice Address - Phone:763-633-3800
Practice Address - Fax:763-633-3808
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCURATE HOME CARE HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-10
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN377066251E00000X, 251J00000X
3747P1801X, 332BD1200X, 332BN1400X, 332BP3500X, 332BX2000X
MN331448251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA248609100Medicaid