Healthcare Provider Details
I. General information
NPI: 1699556936
Provider Name (Legal Business Name): ASHCARE VIRTUAL HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/12/2023
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12800 N MERIDIAN ST STE 490
CARMEL IN
46032-9443
US
IV. Provider business mailing address
12800 N MERIDIAN ST STE 490
CARMEL IN
46032-9443
US
V. Phone/Fax
- Phone: 858-754-2000
- Fax:
- Phone: 858-754-2000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
DOUGLAS
METZ
Title or Position: CHIEF HEALTH OFFICER
Credential: DC
Phone: 858-754-2000