Provider Demographics
NPI:1396828653
Name:A1 ASSOCIATED NURSES, INC.
Entity Type:Organization
Organization Name:A1 ASSOCIATED NURSES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:PASHEILICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-589-2776
Mailing Address - Street 1:1298 ASHLAND RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44905-2253
Mailing Address - Country:US
Mailing Address - Phone:419-589-2776
Mailing Address - Fax:419-589-2778
Practice Address - Street 1:1298 ASHLAND RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44905-2253
Practice Address - Country:US
Practice Address - Phone:419-589-2776
Practice Address - Fax:419-589-2778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0108001Medicaid
OH7000122OtherMRDD
OH7000122OtherMRDD