Provider Demographics
NPI:1770631400
Name:ACCENT HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:ACCENT HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:518-237-2700
Mailing Address - Street 1:820 5TH AVE
Mailing Address - Street 2:PO BOX 249
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12182-0249
Mailing Address - Country:US
Mailing Address - Phone:518-237-2700
Mailing Address - Fax:518-237-2708
Practice Address - Street 1:820 5TH AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12182-2118
Practice Address - Country:US
Practice Address - Phone:518-237-2700
Practice Address - Fax:518-237-2708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9407L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01348838Medicaid
NY01356385Medicaid