Basic Information
| Provider Information | |||||||||
| NPI: | 1023213816 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AID & ASSIST AT HOME, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1395 VOLUNTEER PKWY | ||||||||
| Address2: | UNIT 2 SUITE 3A | ||||||||
| City: | BRISTOL | ||||||||
| State: | TN | ||||||||
| PostalCode: | 376205733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8009780019 | ||||||||
| FaxNumber: | 4237645007 | ||||||||
| Practice Location | |||||||||
| Address1: | 1395 VOLUNTEER PKWY | ||||||||
| Address2: | UNIT 2 SUITE 3A | ||||||||
| City: | BRISTOL | ||||||||
| State: | TN | ||||||||
| PostalCode: | 376205733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8009780019 | ||||||||
| FaxNumber: | 4237645007 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | EDWARDS | ||||||||
| AuthorizedOfficialFirstName: | HOLLY | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8009780019 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 311Z00000X | L 438-096-1526 | TN | Y | Nursing & Custodial Care Facilities | Custodial Care Facility |
No ID Information.