Provider Demographics
NPI:1871888990
Name:AXCESS HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:AXCESS HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHEARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-542-2893
Mailing Address - Street 1:800 S PINE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-3373
Mailing Address - Country:US
Mailing Address - Phone:864-542-2893
Mailing Address - Fax:864-542-2936
Practice Address - Street 1:800 S PINE ST
Practice Address - Street 2:SUITE B
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-3373
Practice Address - Country:US
Practice Address - Phone:864-542-2893
Practice Address - Fax:864-542-2936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care