Provider Demographics
NPI:1104356773
Name:BESTSIDE HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:BESTSIDE HOME HEALTHCARE LLC
Other - Org Name:BESTSIDE HOME HEALTHCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:
Authorized Official - Last Name:XAASHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-423-8012
Mailing Address - Street 1:4111 CENTRAL AVE NE STE 208
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-2955
Mailing Address - Country:US
Mailing Address - Phone:612-876-1935
Mailing Address - Fax:612-299-1288
Practice Address - Street 1:4111 CENTRAL AVE NE STE 208
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-2955
Practice Address - Country:US
Practice Address - Phone:612-876-1935
Practice Address - Fax:612-299-1288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health