Provider Demographics
NPI:1649959255
Name:ACCESS CARE MANAGEMENT LLC
Entity type:Organization
Organization Name:ACCESS CARE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BEHAUDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OMER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:805-410-4880
Mailing Address - Street 1:5630 VENICE BLVD # 1169
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-5127
Mailing Address - Country:US
Mailing Address - Phone:805-410-4880
Mailing Address - Fax:
Practice Address - Street 1:1188 PADRE DR STE 125
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2261
Practice Address - Country:US
Practice Address - Phone:805-410-4880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty