Healthcare Provider Details

I. General information

NPI: 1003969114
Provider Name (Legal Business Name): ASAP HOME HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 COMMERCE AVE
PALMDALE CA
93551-3882
US

IV. Provider business mailing address

602 COMMERCE AVE
PALMDALE CA
93551-3882
US

V. Phone/Fax

Practice location:
  • Phone: 616-274-0800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number980001089
License Number StateCA

VIII. Authorized Official

Name: ROY WILLIAMS
Title or Position: ADMINISTRATOR
Credential:
Phone: 661-274-0800