1295928646 NPI number — ASAP SERVICES CORPORATION

Table of content: (NPI 1295928646)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295928646 NPI number — ASAP SERVICES CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASAP SERVICES CORPORATION
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:
Provider Other Organization Name Type Code:
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:
1295928646
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1822 JEFFERSON PL NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20036-2505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-293-2931
Provider Business Mailing Address Fax Number:
202-293-3480

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1822 JEFFERSON PL NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20036-2505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-293-2931
Provider Business Practice Location Address Fax Number:
202-293-3480
Provider Enumeration Date:
08/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KALIFA
Authorized Official First Name:
WEHIBA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
202-293-2931

Provider Taxonomy Codes

  • Taxonomy code: 385H00000X , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 011252287 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 025348400 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0368886-00 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 045825200 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1295928646 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 025349200 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".




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