Provider Demographics
NPI:1699461798
Name:ASHCARE VIRTUAL SERVICES, INC.
Entity type:Organization
Organization Name:ASHCARE VIRTUAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-994-3046
Mailing Address - Street 1:10221 WATERIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-2702
Mailing Address - Country:US
Mailing Address - Phone:858-754-2000
Mailing Address - Fax:877-414-2746
Practice Address - Street 1:10221 WATERIDGE CIR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2702
Practice Address - Country:US
Practice Address - Phone:858-754-2000
Practice Address - Fax:877-414-2746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty