Andrea Teresa Ashe

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CLA001274 Issued in GA

Practice address

4666 Randalwood Dr
Stone Mountain, GA 30083-4350

Phone

(404) 343-4840

Fax

(678) 705-5512

NPI assigned

May 19, 2015

Last updated

May 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faith Dwellings, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Stone Mountain, GA
  • NPI 1699156216
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1891174256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 RANDALWOOD DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834350",
            "telephone_number": "404-343-4840",
            "fax_number": "678-705-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4666 RANDALWOOD DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834350",
            "telephone_number": "404-343-4840",
            "fax_number": "678-705-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHE",
        "first_name": "ANDREA",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CLA001274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056582532A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Etsubdenke Areaya, NP
• Arms Wide Open (KLM & Associates)
• Arms Wide Open Home Care Services, LLC
• James H Arnold III, D.D.S.
• Beemnet Hailu Asega
• Aspire to Heal LLC
• At Home Atlanta LLC
• At Your Door Home Care LLC
• At Your Service Anesthesia and Therapeutics, LLC
• At Your Service Anesthesia, LLC

• Community/Behavioral Health Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.