MEDICARE: AASH VENTURES, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		GA

General Provider Information

NPI Number	:	1053552653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AASH VENTURES, LLC.

Provider Business Mailing Address
First Line	:	3020 ROSWELL RD
Second Line	:	SUITE 200
City	:	MARIETTA
State	:	GA
Zip	:	30062-4996
Country	:	US
Telephone Number	:	678-922-8008
Fax Number	:

Provider Business Practice Location Address
First Line	:	3020 ROSWELL RD
Second Line	:	SUITE 200
City	:	MARIETTA
State	:	GA
Zip	:	30062-4996
Country	:	US
Telephone Number	:	678-922-8008
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RAMAN SHIVARAM
Credential	:
Telephone Number	:	678-922-8008

Provider Enumeration Date	:	03/12/2009
Last Update Date	:	09/05/2013

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