Provider Demographics
NPI:1669793071
Name:ACCRON HEALTH CARE INC
Entity type:Organization
Organization Name:ACCRON HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-406-1465
Mailing Address - Street 1:5501 PATTERSON AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2025
Mailing Address - Country:US
Mailing Address - Phone:804-288-2360
Mailing Address - Fax:
Practice Address - Street 1:3975 UNIVERSITY DR
Practice Address - Street 2:SUITE 350
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2531
Practice Address - Country:US
Practice Address - Phone:571-490-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health