MEDICARE: ASTRA HOME CARE

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	1388L001	NY

General Provider Information

NPI Number	:	1518259035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTRA HOME CARE

Provider Business Mailing Address
First Line	:	117 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3917
Country	:	US
Telephone Number	:	718-854-8783
Fax Number	:	718-851-3815

Provider Business Practice Location Address
First Line	:	117 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3917
Country	:	US
Telephone Number	:	718-854-8783
Fax Number	:	718-851-3815

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	MR. MARTIN SCHLOSSER
Credential	:
Telephone Number	:	718-854-8783

Provider Enumeration Date	:	05/03/2011
Last Update Date	:	05/03/2011

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