Provider Demographics
NPI:1912987249
Name:ASSISTIVE TECHNOLOGY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ASSISTIVE TECHNOLOGY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-327-1960
Mailing Address - Street 1:PO BOX 330730
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7505
Mailing Address - Country:US
Mailing Address - Phone:615-327-1780
Mailing Address - Fax:615-327-0117
Practice Address - Street 1:1915 CHARLOTTE AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2130
Practice Address - Country:US
Practice Address - Phone:615-327-1960
Practice Address - Fax:615-327-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-20
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4034042OtherTN CARE SELECT #
TN1454623Medicaid
KY90008996Medicaid
TN4780840001OtherPALMETTO REGION C #
TN4034042OtherTN CARE SELECT #