Provider Demographics
NPI:1093175382
Name:ASSOCIATES IN ADULT HEALTH CARE
Entity Type:Organization
Organization Name:ASSOCIATES IN ADULT HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:VINCINT
Authorized Official - Last Name:SARGERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-867-2811
Mailing Address - Street 1:1010 CEREAL AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-2784
Mailing Address - Country:US
Mailing Address - Phone:513-867-2811
Mailing Address - Fax:513-867-2094
Practice Address - Street 1:1010 CEREAL AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-2784
Practice Address - Country:US
Practice Address - Phone:513-867-2811
Practice Address - Fax:513-867-2094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18776-NP302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0611734Medicaid
OHSA0577473Medicare PIN