Provider Demographics
NPI:1265665194
Name:SATYANARAYAN HEALTHCARE, LLC
Entity Type:Organization
Organization Name:SATYANARAYAN HEALTHCARE, LLC
Other - Org Name:SUNNY DAYS ADULT DAY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TEJAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:908-769-5100
Mailing Address - Street 1:1 ETHEL RD STE 106C
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2838
Mailing Address - Country:US
Mailing Address - Phone:908-769-5100
Mailing Address - Fax:908-769-5104
Practice Address - Street 1:1 EHEL ROAD
Practice Address - Street 2:SUITE 106 C
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2838
Practice Address - Country:US
Practice Address - Phone:908-769-5100
Practice Address - Fax:908-769-5104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ12014261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0215082Medicaid