Provider Demographics
NPI:1184230948
Name:ACCENTCARE FAIRVIEW HOME HEALTH - EAST, LLC
Entity type:Organization
Organization Name:ACCENTCARE FAIRVIEW HOME HEALTH - EAST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ-DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-220-2074
Mailing Address - Street 1:225 W MULBERRY ST
Mailing Address - Street 2:SUITE 102 ATTN MECCA
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201
Mailing Address - Country:US
Mailing Address - Phone:940-220-2074
Mailing Address - Fax:
Practice Address - Street 1:3507 HIGHPOINT DR N # S140
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-7577
Practice Address - Country:US
Practice Address - Phone:651-232-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies