Provider Demographics
NPI:1144735499
Name:ACCESSIBLE HOME CONSULTANTS, LLC
Entity type:Organization
Organization Name:ACCESSIBLE HOME CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-871-5555
Mailing Address - Street 1:485 WALMAR RD
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-1521
Mailing Address - Country:US
Mailing Address - Phone:440-871-5555
Mailing Address - Fax:800-871-3850
Practice Address - Street 1:485 WALMAR DRIVE
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140
Practice Address - Country:US
Practice Address - Phone:440-871-5555
Practice Address - Fax:800-871-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0073730Medicaid