MEDICARE: ASANTE HOMECARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1982385027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASANTE HOMECARE LLC

Provider Business Mailing Address
First Line	:	420 WASHINGTON ST STE 306
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-4777
Country	:	US
Telephone Number	:	774-776-2623
Fax Number	:	877-411-0803

Provider Business Practice Location Address
First Line	:	420 WASHINGTON ST STE 306
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-4777
Country	:	US
Telephone Number	:	774-776-2623
Fax Number	:	877-411-0803

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	LEONARD THUO
Credential	:
Telephone Number	:	774-776-2623

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	07/31/2023

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