Provider Demographics
NPI:1437920378
Name:ACUTE CARE HOME HEALTH CORP
Entity type:Organization
Organization Name:ACUTE CARE HOME HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKINAJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MSN ED
Authorized Official - Phone:626-215-5900
Mailing Address - Street 1:7660 E BROADWAY BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-3775
Mailing Address - Country:US
Mailing Address - Phone:626-215-5900
Mailing Address - Fax:
Practice Address - Street 1:7660 E BROADWAY BLVD STE 210
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3775
Practice Address - Country:US
Practice Address - Phone:626-215-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health