Provider Demographics
NPI:1417771825
Name:ASHIYANA HOME CARE
Entity type:Organization
Organization Name:ASHIYANA HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FALAK
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-356-8933
Mailing Address - Street 1:16909 CASS BROOK LN
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-5112
Mailing Address - Country:US
Mailing Address - Phone:347-356-8933
Mailing Address - Fax:202-598-6405
Practice Address - Street 1:16909 CASS BROOK LN
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-5112
Practice Address - Country:US
Practice Address - Phone:347-356-8933
Practice Address - Fax:202-598-6405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child