ACCREDITED GROUP IV LLC; NPI #1578137550

Contact Information

ACCREDITED GROUP IV LLC

21733 PROVINCIAL BLVD STE 920
KATY, TX 77450-6536

Phone: 832-408-7999
Fax: 866-708-0821
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for ACCREDITED GROUP IV LLC

NPI Number	`1578137550`
LBN Legal business name	ACCREDITED GROUP IV LLC
Authorized official	JERRY MOSBACHER - (ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/14/2021
Last updated	05/14/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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