Provider Demographics
NPI:1144793019
Name:ASSOCIATED SERVICES LLC
Entity Type:Organization
Organization Name:ASSOCIATED SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:AJMERI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:732-887-8600
Mailing Address - Street 1:1609 WOODBOURNE RD STE 204A
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-1534
Mailing Address - Country:US
Mailing Address - Phone:732-887-8600
Mailing Address - Fax:
Practice Address - Street 1:1609 WOODBOURNE RD STE 204A
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1534
Practice Address - Country:US
Practice Address - Phone:732-887-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1034409710001Medicaid