Provider Demographics
NPI:1720200546
Name:ACCUCARE NURSING & HOMECARE
Entity Type:Organization
Organization Name:ACCUCARE NURSING & HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:FOOTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:845-624-0260
Mailing Address - Street 1:20 OLD TURNPIKE RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2532
Mailing Address - Country:US
Mailing Address - Phone:845-624-0260
Mailing Address - Fax:845-624-0264
Practice Address - Street 1:20 OLD TURNPIKE RD
Practice Address - Street 2:SUITE 307
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2532
Practice Address - Country:US
Practice Address - Phone:845-624-0260
Practice Address - Fax:845-624-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8079L001251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01138536Medicaid