Provider Demographics
NPI:1548691140
Name:A&S HEALTH CARE SERVICE INC
Entity type:Organization
Organization Name:A&S HEALTH CARE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ASAFU
Authorized Official - Last Name:ADJAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-698-4726
Mailing Address - Street 1:2033 TULIP PETAL RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30011-2159
Mailing Address - Country:US
Mailing Address - Phone:678-698-4726
Mailing Address - Fax:
Practice Address - Street 1:2033 TULIP PETAL RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:GA
Practice Address - Zip Code:30011-2159
Practice Address - Country:US
Practice Address - Phone:678-698-4726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA343900000X
GA067-R-1575251E00000X, 253Z00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care