Provider Demographics
NPI:1396409272
Name:ASTER GARDEN CARE HOME
Entity Type:Organization
Organization Name:ASTER GARDEN CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIN YOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:RHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-407-7065
Mailing Address - Street 1:2046 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-4321
Mailing Address - Country:US
Mailing Address - Phone:925-407-7065
Mailing Address - Fax:
Practice Address - Street 1:2046 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4321
Practice Address - Country:US
Practice Address - Phone:925-407-7065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility