Provider Demographics
NPI:1013082361
Name:ACCEL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ACCEL HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:BODDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-343-8931
Mailing Address - Street 1:1421 PARK AVE. S.
Mailing Address - Street 2:SUITE #1
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404
Mailing Address - Country:US
Mailing Address - Phone:612-343-8931
Mailing Address - Fax:612-343-8933
Practice Address - Street 1:1421 PARK AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-5200
Practice Address - Country:US
Practice Address - Phone:612-343-8931
Practice Address - Fax:612-343-8933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN332473251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health