Provider Demographics
NPI:1760663637
Name:ACHIEVE HOME HEALTH CARE,LLC
Entity type:Organization
Organization Name:ACHIEVE HOME HEALTH CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SUBHASIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHANTY
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:810-230-9881
Mailing Address - Street 1:G 5245 W PIERSON RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-2411
Mailing Address - Country:US
Mailing Address - Phone:810-230-9881
Mailing Address - Fax:810-230-9882
Practice Address - Street 1:G 5245 W PIERSON RD
Practice Address - Street 2:SUITE 1
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-2411
Practice Address - Country:US
Practice Address - Phone:810-230-9881
Practice Address - Fax:810-230-9882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health