Provider Demographics
NPI:1740421718
Name:A&S HEALTH ASSOCIATES INC
Entity Type:Organization
Organization Name:A&S HEALTH ASSOCIATES INC
Other - Org Name:ABODE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:KUTTIPARAMBIL
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-733-7873
Mailing Address - Street 1:1518 BUTTERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-6003
Mailing Address - Country:US
Mailing Address - Phone:469-733-7873
Mailing Address - Fax:972-226-8003
Practice Address - Street 1:350 OAKS TRL
Practice Address - Street 2:SUITE 201
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-8014
Practice Address - Country:US
Practice Address - Phone:469-733-7873
Practice Address - Fax:972-226-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-20
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010638251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679742Medicare Oscar/Certification