Provider Demographics
NPI:1003290297
Name:SAINTPAULHEALTHCAREPT, INC.
Entity Type:Organization
Organization Name:SAINTPAULHEALTHCAREPT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:516-492-6120
Mailing Address - Street 1:839 E MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-5024
Mailing Address - Country:US
Mailing Address - Phone:516-492-6120
Mailing Address - Fax:
Practice Address - Street 1:839 E MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536
Practice Address - Country:US
Practice Address - Phone:516-492-6120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT PAUL HEALTHCARE PT, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC002492231251E00000X, 332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No251E00000XAgenciesHome Health