Provider Demographics
NPI:1790907244
Name:ACCORD HOME SERVICES, LLC
Entity Type:Organization
Organization Name:ACCORD HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-726-8015
Mailing Address - Street 1:400 NILES-CORTLAND RD SE
Mailing Address - Street 2:STE V
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-5719
Mailing Address - Country:US
Mailing Address - Phone:330-469-6738
Mailing Address - Fax:330-469-6739
Practice Address - Street 1:7067 TIFFANY BLVD
Practice Address - Street 2:STE 270
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514
Practice Address - Country:US
Practice Address - Phone:330-726-8015
Practice Address - Fax:330-629-6297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH73279353OtherPASSPORT PROVIDER NO.