Healthcare Provider Details
I. General information
NPI: 1750974788
Provider Name (Legal Business Name): ASTER HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2021
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5236 COLODNY DR STE 205
AGOURA HILLS CA
91301-4913
US
IV. Provider business mailing address
5236 COLODNY DR STE 208C
AGOURA HILLS CA
91301-2624
US
V. Phone/Fax
- Phone: 747-201-7607
- Fax:
- Phone: 747-201-7607
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SWEETY
EAPEN
Title or Position: CEO
Credential:
Phone: 747-201-7607