Provider Demographics
NPI:1710187299
Name:ACCENTCARE OF CALIFORNIA, INC.
Entity Type:Organization
Organization Name:ACCENTCARE OF CALIFORNIA, INC.
Other - Org Name:ACCENTCARE OF CA - PCS
Other - Org Type:Other Name
Authorized Official - Title/Position:VP/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ-DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-201-3819
Mailing Address - Street 1:17855 DALLAS PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6857
Mailing Address - Country:US
Mailing Address - Phone:972-201-3819
Mailing Address - Fax:909-331-4301
Practice Address - Street 1:411 CAMINO DEL RIO SOUTH
Practice Address - Street 2:SUITE 302
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3551
Practice Address - Country:US
Practice Address - Phone:619-543-1660
Practice Address - Fax:619-543-1668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2021-07-21
Deactivation Date:2019-04-23
Deactivation Code:
Reactivation Date:2019-06-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA99028036OtherIRVINE BUSINESS LICENSE