Provider Demographics
NPI:1861019887
Name:ACTIONCARE INC
Entity Type:Organization
Organization Name:ACTIONCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KOBINA
Authorized Official - Middle Name:
Authorized Official - Last Name:EKUMFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-819-2230
Mailing Address - Street 1:33 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-1034
Mailing Address - Country:US
Mailing Address - Phone:631-819-2230
Mailing Address - Fax:
Practice Address - Street 1:2000 BRENTWOOD RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-4653
Practice Address - Country:US
Practice Address - Phone:631-819-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health