Provider Demographics
NPI:1639524648
Name:ASHCOR CARE, LLC
Entity Type:Organization
Organization Name:ASHCOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-662-5556
Mailing Address - Street 1:16818 COBBLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-1915
Mailing Address - Country:US
Mailing Address - Phone:314-662-5556
Mailing Address - Fax:866-597-4551
Practice Address - Street 1:2005 BROADWAY ST
Practice Address - Street 2:SUITE 110
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-1945
Practice Address - Country:US
Practice Address - Phone:314-662-5556
Practice Address - Fax:866-597-4551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care