Provider Demographics
NPI:1154667566
Name:ASTER HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:ASTER HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EUCHARIA
Authorized Official - Middle Name:CHIEGE
Authorized Official - Last Name:IWUANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:DHSC, PA-C
Authorized Official - Phone:832-818-2602
Mailing Address - Street 1:6011 TELEPHONE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-5403
Mailing Address - Country:US
Mailing Address - Phone:713-280-9837
Mailing Address - Fax:713-645-5588
Practice Address - Street 1:6011 TELEPHONE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-5403
Practice Address - Country:US
Practice Address - Phone:713-280-9837
Practice Address - Fax:713-645-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities