Provider Demographics
NPI:1356090302
Name:AHCS MENTAL HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:AHCS MENTAL HEALTH AND WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JASANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-794-1124
Mailing Address - Street 1:1377 N FAIR OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-2101
Mailing Address - Country:US
Mailing Address - Phone:626-794-1124
Mailing Address - Fax:626-797-0424
Practice Address - Street 1:1377 N FAIR OAKS AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-2101
Practice Address - Country:US
Practice Address - Phone:626-794-1124
Practice Address - Fax:626-797-0424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy