Provider Demographics
NPI:1265523625
Name:ACCLAIMED HEALTHCARE INC.
Entity type:Organization
Organization Name:ACCLAIMED HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAPHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-886-6559
Mailing Address - Street 1:1985 SWARTHMORE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4554
Mailing Address - Country:US
Mailing Address - Phone:732-886-6559
Mailing Address - Fax:732-364-3221
Practice Address - Street 1:1985 SWARTHMORE AVE STE 3
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4554
Practice Address - Country:US
Practice Address - Phone:732-886-6559
Practice Address - Fax:732-364-3221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9053905Medicaid
NJ9053905Medicaid