Ash Street Place, L.L.C.
Organization Active NPI Assisted Living Facility · Guthrie, OK
NPI 1376767111 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376767111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL4201 (OK)
- Legal business name
- ASH STREET PLACE, L.L.C.
- Practice address
- 111 S Ash St
Guthrie, OK 73044-4935 - Phone
- (405) 282-2000
- Fax
- (405) 282-5731
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Tandie Hastings
- Title
- President
- Phone
- (405) 282-6285
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2192356 | Ash Street Place, LLC | Certificate of waiver | Sep 8, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL4201 | OK | Yes |
Addresses
Primary practice location
111 S Ash St
Guthrie, OK 73044-4935
Mailing address
111 S Ash St
Guthrie, OK 73044-4935
Phone (405) 282-2000
Other providers in Guthrie, OK
- Amazing Life Behavioral Health and Addiction Services
- Melissa Rae Ancik
- Amy Anderson Carothers
- Anderson-Britton LLC
- Cynthia Ann Anouar
- Marilyn Austin-Clark
- Leslie Austin
- Teri Rene Avey
- Tiya Awe
- Brandi Rae Babcock
All providers in Guthrie, OK · Assisted Living Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.