Provider Demographics
NPI:1700389640
Name:ACCESSIBLE SOLUTIONS LLC
Entity Type:Organization
Organization Name:ACCESSIBLE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-500-0950
Mailing Address - Street 1:16541 SWEETWATER DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-3062
Mailing Address - Country:US
Mailing Address - Phone:302-500-0950
Mailing Address - Fax:302-664-1742
Practice Address - Street 1:16541 SWEETWATER DR
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-3062
Practice Address - Country:US
Practice Address - Phone:302-500-0950
Practice Address - Fax:302-664-1742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2015102773332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1992170211Medicaid