Provider Demographics
NPI:1336428085
Name:ACCESS SENIOR HOMECARE LLC
Entity Type:Organization
Organization Name:ACCESS SENIOR HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-439-0007
Mailing Address - Street 1:4937 WEST BROAD STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228
Mailing Address - Country:US
Mailing Address - Phone:614-439-0007
Mailing Address - Fax:614-515-5913
Practice Address - Street 1:4937 W BROAD ST
Practice Address - Street 2:SUITE 101
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-1646
Practice Address - Country:US
Practice Address - Phone:614-439-0007
Practice Address - Fax:614-515-5913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-12
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSD034892251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health