Healthcare Provider Details

I. General information

NPI: 1699641241
Provider Name (Legal Business Name): ASRAM LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22424 CHARLENE WAY
CASTRO VALLEY CA
94546-7102
US

IV. Provider business mailing address

22424 CHARLENE WAY
CASTRO VALLEY CA
94546-7102
US

V. Phone/Fax

Practice location:
  • Phone: 510-996-8520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: BABITA DHAWAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 510-996-8520