Provider Demographics
NPI:1750357463
Name:ACCENTCARE HOME HEALTH OF ORANGE, INC
Entity type:Organization
Organization Name:ACCENTCARE HOME HEALTH OF ORANGE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHARIMAN,PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:COMTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-623-1539
Mailing Address - Street 1:135 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2466
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30372 ESPERANZA
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2118
Practice Address - Country:US
Practice Address - Phone:949-888-0881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA06000045251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57737FMedicaid
CA557737Medicare ID - Type UnspecifiedMEDICARE IDENTIFICATION N