Provider Demographics
NPI:1326368598
Name:ASSOCIATED HOME SERVICES, INC.
Entity Type:Organization
Organization Name:ASSOCIATED HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP QUALITY
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HYLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-206-5924
Mailing Address - Street 1:1400 COMMERCE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-7203
Mailing Address - Country:US
Mailing Address - Phone:855-206-5924
Mailing Address - Fax:
Practice Address - Street 1:1400 COMMERCE CENTER DR STE E
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-7203
Practice Address - Country:US
Practice Address - Phone:855-206-5924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TXPP0104333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000166298Medicaid
TXF500304820Medicaid