1366732588 NPI number — TSK ASSISTED LIVING SERVICES, INC,

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366732588 NPI number — TSK ASSISTED LIVING SERVICES, INC,

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TSK ASSISTED LIVING SERVICES, INC,
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
VISITING ANGELS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366732588
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6693 N CHESTNUT ST # 145A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RAVENNA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44266-3922
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-297-2000
Provider Business Mailing Address Fax Number:
330-297-1896

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6693 N CHESTNUT ST # 145A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RAVENNA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44266-3922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-297-2000
Provider Business Practice Location Address Fax Number:
330-297-1896
Provider Enumeration Date:
04/08/2011

Additional Information

Authorized Official

Authorized Official Last Name:
KASTENHUBER
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
W.
Authorized Official Title or Position:
SECRETARY/TREASURER
Authorized Official Telephone Number:
330-297-2000

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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