Provider Demographics
NPI:1023213816
Name:AID & ASSIST AT HOME, INC
Entity Type:Organization
Organization Name:AID & ASSIST AT HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:E
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-978-0019
Mailing Address - Street 1:1395 VOLUNTEER PKWY
Mailing Address - Street 2:UNIT 2 SUITE 3A
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-5733
Mailing Address - Country:US
Mailing Address - Phone:800-978-0019
Mailing Address - Fax:423-764-5007
Practice Address - Street 1:1395 VOLUNTEER PKWY
Practice Address - Street 2:UNIT 2 SUITE 3A
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-5733
Practice Address - Country:US
Practice Address - Phone:800-978-0019
Practice Address - Fax:423-764-5007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL 438-096-1526311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility