MEDICARE: ASTRA HOME CARE 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1275496085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTRA HOME CARE LLC

Provider Business Mailing Address
First Line	:	1640 E SAHARA AVE STE H
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3491
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 E SAHARA AVE STE H
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3491
Country	:	US
Telephone Number	:	702-755-0506
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROSA PUPO ARENCIBIA
Credential	:
Telephone Number	:	702-755-0506

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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