Provider Demographics
NPI:1922866789
Name:ASIYA CARE LLC
Entity Type:Organization
Organization Name:ASIYA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ABDI
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:MS HEALTH AND HUMAN
Authorized Official - Phone:507-271-2469
Mailing Address - Street 1:84 KESSEL CT APT 25
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-6247
Mailing Address - Country:US
Mailing Address - Phone:507-271-2469
Mailing Address - Fax:
Practice Address - Street 1:84 KESSEL CT APT 25
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-6247
Practice Address - Country:US
Practice Address - Phone:507-271-2469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No177F00000XOther Service ProvidersLodging