Provider Demographics
NPI:1023295441
Name:ASHAY LLC
Entity type:Organization
Organization Name:ASHAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREATOR AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCLINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-522-4433
Mailing Address - Street 1:7922 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64138-1953
Mailing Address - Country:US
Mailing Address - Phone:816-522-4433
Mailing Address - Fax:
Practice Address - Street 1:7922 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64138-1953
Practice Address - Country:US
Practice Address - Phone:816-522-4433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:43119646
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children