Provider Demographics
NPI:1922477561
Name:ACCOMMODATION HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ACCOMMODATION HOME HEALTH CARE LLC
Other - Org Name:ACCOMMODATION HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:AVGUSTOVNA
Authorized Official - Last Name:RAEVSKAIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-426-3272
Mailing Address - Street 1:17107 ARDISIA DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-5707
Mailing Address - Country:US
Mailing Address - Phone:512-426-3272
Mailing Address - Fax:
Practice Address - Street 1:17107 ARDISIA DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-5707
Practice Address - Country:US
Practice Address - Phone:512-426-3272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health