Provider Demographics
NPI:1801125554
Name:ACCRA HOME HEALTH INC
Entity type:Organization
Organization Name:ACCRA HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-935-3515
Mailing Address - Street 1:1011 1ST ST S STE 315
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9478
Mailing Address - Country:US
Mailing Address - Phone:952-935-3515
Mailing Address - Fax:952-935-7112
Practice Address - Street 1:1011 1ST ST S STE 315
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-9478
Practice Address - Country:US
Practice Address - Phone:952-935-3515
Practice Address - Fax:952-935-7112
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCRA CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health