=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205132859
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASTRA HEALTH SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/31/2011
-----------------------------------------------------
Last Update Date | 07/14/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16101 VENTURA BLVD STE 155A
-----------------------------------------------------
City | ENCINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91436-2510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-242-8500
-----------------------------------------------------
Fax | 909-242-8500
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16101 VENTURA BLVD STE 155A
-----------------------------------------------------
City | ENCINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91436-2510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-242-8500
-----------------------------------------------------
Fax | 909-242-8500
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | MR. LEONARD DAYAO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 909-241-8500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------