=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992338099
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASSET HOMECARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2020
-----------------------------------------------------
Last Update Date | 02/17/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1097 LIBERTY AVE
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11208-2945
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-754-8380
-----------------------------------------------------
Fax | 888-268-4509
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1097 LIBERTY AVE
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11208-2945
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-754-8380
-----------------------------------------------------
Fax | 888-268-4509
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. MAHBOOB ALI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-754-8380
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------