=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023918877
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AQUARIUS CONSULTING INC DBA SYNERGY HOMECARE CA64
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/06/2026
-----------------------------------------------------
Last Update Date | 11/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6281 BEACH BLVD STE 208
-----------------------------------------------------
City | BUENA PARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90621-4232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-817-7444
-----------------------------------------------------
Fax | 949-817-7441
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6281 BEACH BLVD STE 208
-----------------------------------------------------
City | BUENA PARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90621-4232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-817-7444
-----------------------------------------------------
Fax | 949-817-7441
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ADITA ARYA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 360-581-7568
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------