Provider Demographics
NPI:1922054915
Name:AMERICLE HEALTHCARE, INC.
Entity Type:Organization
Organization Name:AMERICLE HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:PARLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-721-0958
Mailing Address - Street 1:740A GENERALS HWY
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1370
Mailing Address - Country:US
Mailing Address - Phone:410-721-0958
Mailing Address - Fax:410-721-8994
Practice Address - Street 1:740A GENERALS HWY
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1370
Practice Address - Country:US
Practice Address - Phone:410-721-0958
Practice Address - Fax:410-721-8994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11746221332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD002092300Medicaid
MD5299240001Medicare ID - Type UnspecifiedREGION B