Provider Demographics
NPI:1265722177
Name:ACCENTCARE INC
Entity type:Organization
Organization Name:ACCENTCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CONTRACTS
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-623-1542
Mailing Address - Street 1:135 TECHNOLOGY DR
Mailing Address - Street 2:STE 150
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2466
Mailing Address - Country:US
Mailing Address - Phone:949-623-1500
Mailing Address - Fax:949-623-1499
Practice Address - Street 1:1105 N 5TH ST
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-3846
Practice Address - Country:US
Practice Address - Phone:409-385-5890
Practice Address - Fax:409-385-5228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007752251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679103Medicare Oscar/Certification