Provider Demographics
NPI:1235222050
Name:SANZ HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:SANZ HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:GISELA
Authorized Official - Last Name:SANZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-403-7462
Mailing Address - Street 1:600 EAST, 25 STREET
Mailing Address - Street 2:SUITE - E
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3815
Mailing Address - Country:US
Mailing Address - Phone:305-403-7462
Mailing Address - Fax:305-403-7463
Practice Address - Street 1:600 EAST, 25 STREET
Practice Address - Street 2:SUITE - E
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3815
Practice Address - Country:US
Practice Address - Phone:305-403-7462
Practice Address - Fax:305-403-7463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992151251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6512631-00Medicaid
690926400OtherMEDICAID WAIVER
FL651263100Medicaid
FL10-8344Medicare UPIN
690926400OtherMEDICAID WAIVER
FL108344Medicare Oscar/Certification
FL6512631-00Medicaid