Healthcare Provider Details

I. General information

NPI: 1619675808
Provider Name (Legal Business Name): ASANTE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MECHANIC ST STE 305
MARLBOROUGH MA
01752-4425
US

IV. Provider business mailing address

25 PRESTON ST
MARLBOROUGH MA
01752-2124
US

V. Phone/Fax

Practice location:
  • Phone: 774-578-7912
  • Fax: 774-578-7912
Mailing address:
  • Phone: 774-578-7912
  • Fax: 774-578-7912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLES DOMPREH ASANTE
Title or Position: OWNER
Credential: CEO
Phone: 774-578-7912