Provider Demographics
NPI:1720811466
Name:WELCOME HOUSE, INC.
Entity type:Organization
Organization Name:WELCOME HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:VAN ARSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-292-9345
Mailing Address - Street 1:1132 GREENUP ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-3256
Mailing Address - Country:US
Mailing Address - Phone:859-431-8717
Mailing Address - Fax:
Practice Address - Street 1:1132 GREENUP ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-3256
Practice Address - Country:US
Practice Address - Phone:859-431-8717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management