Provider Demographics
NPI:1174562581
Name:ACCUCARE, INC.
Entity type:Organization
Organization Name:ACCUCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHRUF
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-239-1243
Mailing Address - Street 1:10518 KIPP WAY DR
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-2678
Mailing Address - Country:US
Mailing Address - Phone:281-530-9920
Mailing Address - Fax:281-530-9915
Practice Address - Street 1:10518 KIPP WAY DR
Practice Address - Street 2:SUITE B-2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2678
Practice Address - Country:US
Practice Address - Phone:281-530-9920
Practice Address - Fax:281-530-9915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BP3500X
TX0059392332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4407830001Medicare NSC