Provider Demographics
NPI:1659762979
Name:ASBURY COMMUNITIES HCBS, INC.
Entity Type:Organization
Organization Name:ASBURY COMMUNITIES HCBS, INC.
Other - Org Name:ASBURY HOME SERVCIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLASS
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEIDIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-250-2120
Mailing Address - Street 1:20030 CENTURY BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1112
Mailing Address - Country:US
Mailing Address - Phone:301-250-2100
Mailing Address - Fax:
Practice Address - Street 1:201 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2800
Practice Address - Country:US
Practice Address - Phone:301-216-4275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASBURY COMMUNITIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-09
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health