Provider Demographics
NPI:1215715487
Name:ASEDA PRIVATE HOMECARE LLC
Entity type:Organization
Organization Name:ASEDA PRIVATE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:DWUMFOUR
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-326-9428
Mailing Address - Street 1:2 ELECTRONICS AVE STE 40
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1071
Mailing Address - Country:US
Mailing Address - Phone:978-326-9428
Mailing Address - Fax:
Practice Address - Street 1:2 ELECTRONICS AVE STE 40
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1071
Practice Address - Country:US
Practice Address - Phone:978-326-9428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care