Healthcare Provider Details

I. General information

NPI: 1033266705
Provider Name (Legal Business Name): ASHE SERVICES FOR AGING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 CHATTYROB LN
WEST JEFFERSON NC
28694-9365
US

IV. Provider business mailing address

180 CHATTYROB LN
WEST JEFFERSON NC
28694-9365
US

V. Phone/Fax

Practice location:
  • Phone: 336-246-2461
  • Fax: 336-246-5724
Mailing address:
  • Phone: 336-246-2461
  • Fax: 336-246-5724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC0744
License Number StateNC

VIII. Authorized Official

Name: PATRICIA S CALLOWAY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 336-246-2461