Provider Demographics
NPI:1720269772
Name:CCGJ & P INC.
Entity Type:Organization
Organization Name:CCGJ & P INC.
Other - Org Name:ACCESSIBLE HOME HEALTH CARE OF NAPLES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-353-2273
Mailing Address - Street 1:5263 GOLDEN GATE PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-7601
Mailing Address - Country:US
Mailing Address - Phone:239-353-2273
Mailing Address - Fax:239-774-2273
Practice Address - Street 1:5263 GOLDEN GATE PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7601
Practice Address - Country:US
Practice Address - Phone:239-353-2273
Practice Address - Fax:239-774-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health