Provider Demographics
NPI:1912116948
Name:ACHIEVEMENT HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ACHIEVEMENT HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BERAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, ATC
Authorized Official - Phone:480-488-3946
Mailing Address - Street 1:32531 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 105-162
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-1519
Mailing Address - Country:US
Mailing Address - Phone:480-488-3946
Mailing Address - Fax:480-488-3956
Practice Address - Street 1:32531 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 105-162
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85262-1519
Practice Address - Country:US
Practice Address - Phone:480-488-3946
Practice Address - Fax:480-488-3956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health