MEDICARE: AOK HOME CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1528929163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AOK HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	9619 CHESAPEAKE DR STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1329
Country	:	US
Telephone Number	:	619-386-5626
Fax Number	:

Provider Business Practice Location Address
First Line	:	9619 CHESAPEAKE DR STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1329
Country	:	US
Telephone Number	:	619-386-5626
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NEGYA ADEN SULEMAN
Credential	:
Telephone Number	:	619-386-5626

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	11/21/2025

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