Provider Demographics
NPI:1245815133
Name:AC HOME HEALTH CARE
Entity type:Organization
Organization Name:AC HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TURPEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:209-256-5549
Mailing Address - Street 1:39 N MAINST SUITE C
Mailing Address - Street 2:
Mailing Address - City:SAN ANDREAS
Mailing Address - State:CA
Mailing Address - Zip Code:95249
Mailing Address - Country:US
Mailing Address - Phone:209-259-4708
Mailing Address - Fax:
Practice Address - Street 1:39 N MAIN STREET SUITE C
Practice Address - Street 2:
Practice Address - City:SAN ANDREAS
Practice Address - State:CA
Practice Address - Zip Code:95249-9524
Practice Address - Country:US
Practice Address - Phone:209-259-4708
Practice Address - Fax:209-259-6024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health