Provider Demographics
NPI:1912893272
Name:AST HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:AST HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SIXTUS
Authorized Official - Middle Name:TEDONGKENG
Authorized Official - Last Name:AJAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-816-6718
Mailing Address - Street 1:126 HERON AVE
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-7259
Mailing Address - Country:US
Mailing Address - Phone:614-816-6718
Mailing Address - Fax:
Practice Address - Street 1:126 HERON AVE
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-7259
Practice Address - Country:US
Practice Address - Phone:614-816-6718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health