Provider Demographics
NPI:1700431392
Name:ASSISTIVE HEALTH SYSTEMS INC.
Entity Type:Organization
Organization Name:ASSISTIVE HEALTH SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUDRY
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:951-522-1425
Mailing Address - Street 1:4540 KEARNY VILLA RD STE 213
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1586
Mailing Address - Country:US
Mailing Address - Phone:858-900-6693
Mailing Address - Fax:
Practice Address - Street 1:4540 KEARNY VILLA RD STE 213
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1586
Practice Address - Country:US
Practice Address - Phone:858-900-6693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based