Provider Demographics
NPI: | 1295292993 |
---|---|
Name: | ACME HOME CARE, INC. |
Entity type: | Organization |
Organization Name: | ACME HOME CARE, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | ELENA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | TSIMBALOV |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 973-513-1182 |
Mailing Address - Street 1: | 1723 EAST 12TH STREET |
Mailing Address - Street 2: | STE 301 |
Mailing Address - City: | BROOKLYN |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11229 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1723 EAST 12TH STREET |
Practice Address - Street 2: | STE 301 |
Practice Address - City: | BROOKLYN |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11229 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-513-1182 |
Practice Address - Fax: | 718-504-3531 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-02-28 |
Last Update Date: | 2024-03-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Multi-Specialty | |
No | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | Group - Multi-Specialty | |
No | 235500000X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Group - Multi-Specialty | |
No | 2355A2700X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Audiology Assistant | Group - Multi-Specialty |
No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 163WN1003X | Nursing Service Providers | Registered Nurse | Nutrition Support | Group - Multi-Specialty |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 251E00000X | Agencies | Home Health | Group - Multi-Specialty | |
No | 251J00000X | Agencies | Nursing Care | Group - Multi-Specialty | |
No | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | Group - Multi-Specialty |