Provider Demographics
NPI:1114010402
Name:AJA PLUS HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:AJA PLUS HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:UCHE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-625-5665
Mailing Address - Street 1:4706 BROOKS ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-4723
Mailing Address - Country:US
Mailing Address - Phone:909-625-5665
Mailing Address - Fax:909-625-5502
Practice Address - Street 1:4706 BROOKS ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4723
Practice Address - Country:US
Practice Address - Phone:909-625-5665
Practice Address - Fax:909-625-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health