Provider Demographics
NPI:1801404587
Name:ACHIEVE HOME HEALTHCARE
Entity Type:Organization
Organization Name:ACHIEVE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TEAHNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS-JEFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-235-2619
Mailing Address - Street 1:1008 E CHELTEN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-1839
Mailing Address - Country:US
Mailing Address - Phone:267-235-2619
Mailing Address - Fax:
Practice Address - Street 1:1533 W COURTLAND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-1156
Practice Address - Country:US
Practice Address - Phone:267-235-2619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health