Provider Demographics
NPI:1003569054
Name:ASBURY COMMUNITIES HCBS, INC.
Entity Type:Organization
Organization Name:ASBURY COMMUNITIES HCBS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, INTEGRATED SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:MORELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-880-6961
Mailing Address - Street 1:5285 WESTVIEW DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-8521
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 RUSSELL AVE OFC 214
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2800
Practice Address - Country:US
Practice Address - Phone:301-987-6937
Practice Address - Fax:301-216-5002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASBURY COMMUNITIES HCBS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory