Provider Demographics
NPI:1366498875
Name:ASHLEY HALL INC
Entity Type:Organization
Organization Name:ASHLEY HALL INC
Other - Org Name:AAA HOME HEALTH CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-637-0073
Mailing Address - Street 1:7610 N STEMMONS FWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4231
Mailing Address - Country:US
Mailing Address - Phone:214-637-0073
Mailing Address - Fax:214-637-4472
Practice Address - Street 1:7610 N STEMMONS FWY
Practice Address - Street 2:SUITE 230
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4231
Practice Address - Country:US
Practice Address - Phone:214-637-0073
Practice Address - Fax:214-637-4472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008536251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013532Medicaid
TX166194402Medicaid
TX001013484Medicaid
TX001017166Medicaid
TX001013483Medicaid
TX166194401Medicaid
TX001015685Medicaid
TX001013532Medicaid
TX166194402Medicaid