Provider Demographics
NPI:1609983436
Name:ASA HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:ASA HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:POOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-307-8855
Mailing Address - Street 1:5064 DURHAM CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-6454
Mailing Address - Country:US
Mailing Address - Phone:720-530-4354
Mailing Address - Fax:303-307-8666
Practice Address - Street 1:4705 PARIS ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-2860
Practice Address - Country:US
Practice Address - Phone:303-307-8855
Practice Address - Fax:303-307-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health