Provider Demographics
NPI:1821428269
Name:ONAS PLACE 1
Entity Type:Organization
Organization Name:ONAS PLACE 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ONAS
Authorized Official - Middle Name:WILTERINA
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELORS
Authorized Official - Phone:828-775-1110
Mailing Address - Street 1:5 WHITSON RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1938
Mailing Address - Country:US
Mailing Address - Phone:828-225-3606
Mailing Address - Fax:828-225-3607
Practice Address - Street 1:127 GABRIEL STREET
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139
Practice Address - Country:US
Practice Address - Phone:828-301-4004
Practice Address - Fax:828-225-3607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-21
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409640Medicaid