Provider Demographics
NPI:1316643265
Name:ASTONISHING CAREGIVING SERVICES LLC
Entity type:Organization
Organization Name:ASTONISHING CAREGIVING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYBINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-512-6819
Mailing Address - Street 1:129 ST MORITZ CT
Mailing Address - Street 2:
Mailing Address - City:HENRYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18332-7727
Mailing Address - Country:US
Mailing Address - Phone:347-512-6819
Mailing Address - Fax:
Practice Address - Street 1:129 ST MORITZ CT
Practice Address - Street 2:
Practice Address - City:HENRYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18332-7727
Practice Address - Country:US
Practice Address - Phone:347-512-6819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care