Provider Demographics
NPI:1982175139
Name:A&S HUMANS SERVICES LLC
Entity Type:Organization
Organization Name:A&S HUMANS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ADONIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BURRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-477-3150
Mailing Address - Street 1:1111 SOUTHLAND DR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:NC
Mailing Address - Zip Code:29730
Mailing Address - Country:US
Mailing Address - Phone:443-477-3150
Mailing Address - Fax:
Practice Address - Street 1:1111 SOUTHLAND DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:NC
Practice Address - Zip Code:29730
Practice Address - Country:US
Practice Address - Phone:443-477-3150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered Meals