Provider Demographics
NPI:1023014503
Name:ASHFORD HALL INC.
Entity type:Organization
Organization Name:ASHFORD HALL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-268-8103
Mailing Address - Street 1:2021 SHOAF DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2553
Mailing Address - Country:US
Mailing Address - Phone:817-268-8103
Mailing Address - Fax:
Practice Address - Street 1:2021 SHOAF DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2553
Practice Address - Country:US
Practice Address - Phone:972-579-1919
Practice Address - Fax:972-721-1361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001030489Medicaid
TX000442609Medicaid