Provider Demographics
NPI:1508874835
Name:ASHE HOME CARE, INC.
Entity Type:Organization
Organization Name:ASHE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PENNELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:336-846-1345
Mailing Address - Street 1:1646 MOUNT JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694-8336
Mailing Address - Country:US
Mailing Address - Phone:336-846-1345
Mailing Address - Fax:336-846-1390
Practice Address - Street 1:1646 MOUNT JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694-8336
Practice Address - Country:US
Practice Address - Phone:336-846-1345
Practice Address - Fax:336-846-1390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3244251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418057Medicaid
NC6601405Medicaid