Provider Demographics
NPI:1225764772
Name:ASTRA CARE LLC
Entity Type:Organization
Organization Name:ASTRA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PETE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-217-0009
Mailing Address - Street 1:4605 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8376
Mailing Address - Country:US
Mailing Address - Phone:434-217-0009
Mailing Address - Fax:
Practice Address - Street 1:4605 BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8376
Practice Address - Country:US
Practice Address - Phone:434-217-0009
Practice Address - Fax:434-217-0336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)