MEDICARE: AASHIRVAD DARSHAN 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1750900700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AASHIRVAD DARSHAN LLC

Provider Business Mailing Address
First Line	:	1011 SCRANTON CARBONDALE HWY UNIT 2
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18508-1127
Country	:	US
Telephone Number	:	215-269-1182
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 SCRANTON CARBONDALE HWY STE 2
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18508-1127
Country	:	US
Telephone Number	:	215-356-8265
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR, OWNER
Name	:	KOMAL PATEL
Credential	:
Telephone Number	:	215-269-1182

Provider Enumeration Date	:	04/09/2020
Last Update Date	:	05/03/2021

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