Healthcare Provider Details

I. General information

NPI: 1508874835
Provider Name (Legal Business Name): ASHE HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 09/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1646 MOUNT JEFFERSON RD
WEST JEFFERSON NC
28694-8336
US

IV. Provider business mailing address

1646 MOUNT JEFFERSON RD
WEST JEFFERSON NC
28694-8336
US

V. Phone/Fax

Practice location:
  • Phone: 336-846-1345
  • Fax: 336-846-1390
Mailing address:
  • Phone: 336-846-1345
  • Fax: 336-846-1390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3244
License Number StateNC

VIII. Authorized Official

Name: DIANNE PENNELL
Title or Position: DIRECTOR
Credential: RN
Phone: 336-846-1345