Provider Demographics
NPI:1346418951
Name:ASAP HOME HEALTH PROVIDERS, INC.
Entity Type:Organization
Organization Name:ASAP HOME HEALTH PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:ESTREMOS
Authorized Official - Last Name:AQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-868-0300
Mailing Address - Street 1:1129 N GAREY AVE # B
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-3819
Mailing Address - Country:US
Mailing Address - Phone:909-868-0300
Mailing Address - Fax:909-868-0400
Practice Address - Street 1:1129 N GAREY AVE # B
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-3819
Practice Address - Country:US
Practice Address - Phone:909-868-0300
Practice Address - Fax:909-868-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-16
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC3031137OtherCALIFORNIA CORPORATION #