=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952079246
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASHUR ENTERPRISES INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/01/2021
-----------------------------------------------------
Last Update Date | 09/01/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3100 W RAY RD STE 201
-----------------------------------------------------
City | CHANDLER
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85226-2472
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 855-258-8588
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3100 W RAY RD STE 201
-----------------------------------------------------
City | CHANDLER
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85226-2472
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-295-0039
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | MR. PHIL DIGIACOMO
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 480-295-0039
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------