Provider Demographics
NPI:1558610808
Name:ASTRA HEALTH CARE
Entity Type:Organization
Organization Name:ASTRA HEALTH CARE
Other - Org Name:ASTRA HEALTH CARE HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD OF GOVERNORS
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-272-0777
Mailing Address - Street 1:55 SANTA CLARA AVE
Mailing Address - Street 2:255
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1375
Mailing Address - Country:US
Mailing Address - Phone:510-272-0777
Mailing Address - Fax:
Practice Address - Street 1:55 SANTA CLARA AVE
Practice Address - Street 2:255
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-1375
Practice Address - Country:US
Practice Address - Phone:510-272-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-02
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care