Provider Demographics
NPI:1700255114
Name:AASH HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:AASH HOME HEALTH CARE LLC
Other - Org Name:AASH HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARIKH
Authorized Official - Middle Name:EYRARUS
Authorized Official - Last Name:ABDULKADIR
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGEMENT
Authorized Official - Phone:612-735-8413
Mailing Address - Street 1:5301 HYLAND GREENS DR APT 716
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-3912
Mailing Address - Country:US
Mailing Address - Phone:612-735-8413
Mailing Address - Fax:
Practice Address - Street 1:5301 HYLAND GREENS DR APT 716
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-3912
Practice Address - Country:US
Practice Address - Phone:612-735-8413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care