Healthcare Provider Details

I. General information

NPI: 1891604898
Provider Name (Legal Business Name): SAN CARLO ACUTIS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MUNRO BLVD
VALLEY STREAM NY
11581-3309
US

IV. Provider business mailing address

48 MUNRO BLVD
VALLEY STREAM NY
11581-3309
US

V. Phone/Fax

Practice location:
  • Phone: 929-674-8509
  • Fax:
Mailing address:
  • Phone: 929-674-8509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: XAVIER TALAN ASLOR
Title or Position: OWNER
Credential: RN
Phone: 929-674-8509