Provider Demographics
NPI:1447845698
Name:AKARD HEALTHCARE, LLC
Entity type:Organization
Organization Name:AKARD HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACINTA
Authorized Official - Middle Name:
Authorized Official - Last Name:FONKEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-679-9247
Mailing Address - Street 1:2318 WINDCHIME DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-4215
Mailing Address - Country:US
Mailing Address - Phone:469-340-4093
Mailing Address - Fax:855-641-6935
Practice Address - Street 1:2318 WINDCHIME DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-4215
Practice Address - Country:US
Practice Address - Phone:469-340-4093
Practice Address - Fax:855-641-6935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health