Provider Demographics
NPI:1821797945
Name:ANDINET ASSOCIATES LLC
Entity Type:Organization
Organization Name:ANDINET ASSOCIATES LLC
Other - Org Name:COMFORCARE HOME CARE SAN FERNANDO VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUGSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-425-6617
Mailing Address - Street 1:3554 SISKIYOU ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90023-2333
Mailing Address - Country:US
Mailing Address - Phone:732-425-6617
Mailing Address - Fax:
Practice Address - Street 1:20121 VENTURA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2558
Practice Address - Country:US
Practice Address - Phone:818-714-2299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care