Provider Demographics
NPI:1245631092
Name:AKETA, INC.
Entity type:Organization
Organization Name:AKETA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:TENCZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-417-2301
Mailing Address - Street 1:4949 TAMIAMI TRL N STE 202
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3017
Mailing Address - Country:US
Mailing Address - Phone:239-417-2301
Mailing Address - Fax:239-417-2303
Practice Address - Street 1:4254 N BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2419
Practice Address - Country:US
Practice Address - Phone:716-508-8630
Practice Address - Fax:716-508-8634
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COASTAL STAFFING SERVICE,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care