Provider Demographics
NPI:1710416136
Name:ACCENTCARE UCLA HEALTH, LLC
Entity Type:Organization
Organization Name:ACCENTCARE UCLA HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
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:818-480-9295
Practice Address - Street 1:9221 CORBIN AVE STE 160
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-1659
Practice Address - Country:US
Practice Address - Phone:818-480-9300
Practice Address - Fax:818-480-9295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health