Provider Demographics
NPI:1093754160
Name:ASAP HOMECARE INC
Entity Type:Organization
Organization Name:ASAP HOMECARE INC
Other - Org Name:ASAP HOME NURSES INC
Other - Org Type:Other Name
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:G
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:ADMIN
Authorized Official - Phone:330-334-7027
Mailing Address - Street 1:1 PARK CENTER DR
Mailing Address - Street 2:PARK CENTRE DRIVE SUITE 107
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-7100
Mailing Address - Country:US
Mailing Address - Phone:330-334-7027
Mailing Address - Fax:330-334-2186
Practice Address - Street 1:1 PARK CENTER DR
Practice Address - Street 2:PARK CENTRE DRIVE SUITE 107
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-7100
Practice Address - Country:US
Practice Address - Phone:330-334-7027
Practice Address - Fax:330-334-2186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2544134Medicaid