Provider Demographics
NPI:1972814077
Name:ASHFORD, SIMMONS, & YOUNG HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:ASHFORD, SIMMONS, & YOUNG HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-254-1210
Mailing Address - Street 1:1825 SAINT JULIAN PL
Mailing Address - Street 2:SUITE F1D-A&B
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2424
Mailing Address - Country:US
Mailing Address - Phone:803-254-1210
Mailing Address - Fax:803-254-4510
Practice Address - Street 1:1825 SAINT JULIAN PL
Practice Address - Street 2:SUITE F1D-A&B
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2424
Practice Address - Country:US
Practice Address - Phone:803-254-1210
Practice Address - Fax:803-254-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC3535OtherCOMMUNINTY LONG TERM CARE