Provider Demographics
NPI:1396190096
Name:DASA HOME HEALTH INC
Entity Type:Organization
Organization Name:DASA HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SADIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:NSIAH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:774-578-7088
Mailing Address - Street 1:255 PARK AVE STE 1101A
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1978
Mailing Address - Country:US
Mailing Address - Phone:508-459-3272
Mailing Address - Fax:
Practice Address - Street 1:255 PARK AVE STE 1101A
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609
Practice Address - Country:US
Practice Address - Phone:508-459-3272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-30
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health