Healthcare Provider Details

I. General information

NPI: 1669189437
Provider Name (Legal Business Name): ASJOUR HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 SUMNEYTOWN PIKE STE 250
LANSDALE PA
19446-4882
US

IV. Provider business mailing address

1690 SUMNEYTOWN PIKE STE 250
LANSDALE PA
19446-4882
US

V. Phone/Fax

Practice location:
  • Phone: 445-220-1314
  • Fax:
Mailing address:
  • Phone: 445-220-1314
  • Fax:

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. RONESHIA LINDELLE PORTER
Title or Position: OWNER/PATIENT CARE COORDINATOR
Credential:
Phone: 445-220-1314