Healthcare Provider Details

I. General information

NPI: 1780598755
Provider Name (Legal Business Name): ASHRAM HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5113 N DAVIS HWY STE 5
PENSACOLA FL
32503-2035
US

IV. Provider business mailing address

5113 N DAVIS HWY STE 5
PENSACOLA FL
32503-2035
US

V. Phone/Fax

Practice location:
  • Phone: 850-291-6847
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: BHAVIN M TANIA
Title or Position: AR
Credential: RN
Phone: 850-291-6847