Provider Demographics
NPI:1235384496
Name:SAN SHIN LLC
Entity Type:Organization
Organization Name:SAN SHIN LLC
Other - Org Name:ACCESSIBLE HOME HEALTH CARE OF SOUTHERN NEW HAMPSHIRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:ISAAC
Authorized Official - Last Name:DRUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-785-6440
Mailing Address - Street 1:15 TANGUAY AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1786
Mailing Address - Country:US
Mailing Address - Phone:603-883-6000
Mailing Address - Fax:603-883-6004
Practice Address - Street 1:15 TANGUAY AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1786
Practice Address - Country:US
Practice Address - Phone:603-883-6000
Practice Address - Fax:603-883-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03368305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH03368OtherSTATE LICENSE NUMBER