Provider Demographics
NPI:1457170276
Name:ASHAS'S PLACE LLC
Entity type:Organization
Organization Name:ASHAS'S PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ISAACSMENDELSOHN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER/MANAGER/RN
Authorized Official - Phone:520-560-3561
Mailing Address - Street 1:44920 W HATHAWAY AVE UNIT 336
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-9921
Mailing Address - Country:US
Mailing Address - Phone:602-637-4331
Mailing Address - Fax:
Practice Address - Street 1:44920 W HATHAWAY AVE UNIT 336
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-9921
Practice Address - Country:US
Practice Address - Phone:602-637-4331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-08
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility