Provider Demographics
NPI:1275300238
Name:ATES HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ATES HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALNAURT
Authorized Official - Middle Name:
Authorized Official - Last Name:ASONGAFAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-303-1163
Mailing Address - Street 1:2699 AFFIRMED DR
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-5023
Mailing Address - Country:US
Mailing Address - Phone:510-303-1163
Mailing Address - Fax:
Practice Address - Street 1:2699 AFFIRMED DR
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:OH
Practice Address - Zip Code:45152-5023
Practice Address - Country:US
Practice Address - Phone:510-303-1163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health