Provider Demographics
NPI:1932404928
Name:ASSIST HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:ASSIST HEALTHCARE SERVICES, INC.
Other - Org Name:ASSIST HEALTHCARE STAFFING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-229-7432
Mailing Address - Street 1:PO BOX 2530
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-0044
Mailing Address - Country:US
Mailing Address - Phone:706-258-2978
Mailing Address - Fax:706-632-4354
Practice Address - Street 1:2780 SCENIC DR STE 4
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-6055
Practice Address - Country:US
Practice Address - Phone:706-258-2978
Practice Address - Fax:706-632-4354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-21
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA055-R-0860251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA055-R-0860OtherGDCH