Provider Demographics
NPI:1649765645
Name:ASHLEY DAWN, LLC
Entity Type:Organization
Organization Name:ASHLEY DAWN, LLC
Other - Org Name:ACTIKARE RESPONSIVE IN-HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER / AREA DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:BERLINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-640-3682
Mailing Address - Street 1:PO BOX 13706
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88013-3706
Mailing Address - Country:US
Mailing Address - Phone:575-640-3682
Mailing Address - Fax:
Practice Address - Street 1:780 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:TRUTH OR CONSEQUENCES
Practice Address - State:NM
Practice Address - Zip Code:87901-2135
Practice Address - Country:US
Practice Address - Phone:575-640-3682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care