Provider Demographics
NPI:1346469475
Name:ASH GERIATRICS LLC
Entity Type:Organization
Organization Name:ASH GERIATRICS LLC
Other - Org Name:ROSE GARDEN ESTATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMINGSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-276-1865
Mailing Address - Street 1:34620 N SHORT RD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:WA
Mailing Address - Zip Code:99006-8513
Mailing Address - Country:US
Mailing Address - Phone:509-276-1865
Mailing Address - Fax:509-276-9691
Practice Address - Street 1:406 S CASCADE ST
Practice Address - Street 2:
Practice Address - City:RITZVILLE
Practice Address - State:WA
Practice Address - Zip Code:99169-1500
Practice Address - Country:US
Practice Address - Phone:509-659-4717
Practice Address - Fax:509-659-4716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABH-1743310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA860037Medicaid