Provider Demographics
NPI:1700093234
Name:ASSISTED CARE SERVICES, INC.
Entity Type:Organization
Organization Name:ASSISTED CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KILGORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-400-1601
Mailing Address - Street 1:2700 MIDDLEBURG DR
Mailing Address - Street 2:SUITE 217
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2416
Mailing Address - Country:US
Mailing Address - Phone:803-400-1601
Mailing Address - Fax:803-400-1602
Practice Address - Street 1:2700 MIDDLEBURG DR
Practice Address - Street 2:SUITE 217
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2416
Practice Address - Country:US
Practice Address - Phone:803-400-1601
Practice Address - Fax:803-400-1602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC005626251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management