Healthcare Provider Details

I. General information

NPI: 1982928164
Provider Name (Legal Business Name): ASA NEW BEGINNING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2010
Last Update Date: 03/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5339 SW 22ND PLACE
TOPEKA KS
66614-1500
US

IV. Provider business mailing address

5339 SW 22ND PL
TOPEKA KS
66614-1500
US

V. Phone/Fax

Practice location:
  • Phone: 785-273-6875
  • Fax: 785-273-8409
Mailing address:
  • Phone: 785-273-6875
  • Fax: 785-273-8409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA056014
License Number StateKS

VIII. Authorized Official

Name: MR. JIM DEINES
Title or Position: OWNER
Credential:
Phone: 785-273-6875