Provider Demographics
NPI:1982011367
Name:ACUTE COMMUNITY HOME AID ACHD INC
Entity Type:Organization
Organization Name:ACUTE COMMUNITY HOME AID ACHD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS JONES
Authorized Official - Middle Name:FORLEH
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS DEGREE
Authorized Official - Phone:484-479-6766
Mailing Address - Street 1:501 ABBOTT DRIVE 1ST FLOOR SUITE 2
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-4320
Mailing Address - Country:US
Mailing Address - Phone:484-479-6766
Mailing Address - Fax:
Practice Address - Street 1:501 ABBOTT DRIVE 1ST FLOOR SUITE 2
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-4320
Practice Address - Country:US
Practice Address - Phone:484-479-6766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities