Provider Demographics
NPI:1790391217
Name:ACHIEVABLE HOME CARE LLC
Entity Type:Organization
Organization Name:ACHIEVABLE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RAHEEM
Authorized Official - Middle Name:HAKIM
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-528-7114
Mailing Address - Street 1:1418 E CHELTENHAM AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-1102
Mailing Address - Country:US
Mailing Address - Phone:267-528-7114
Mailing Address - Fax:
Practice Address - Street 1:1418 E CHELTENHAM AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-1102
Practice Address - Country:US
Practice Address - Phone:267-528-7114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-21
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care