Provider Demographics
NPI:1316583198
Name:SANANGA CARE HOMES LLC
Entity Type:Organization
Organization Name:SANANGA CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NKATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMATHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-483-2680
Mailing Address - Street 1:41996 W QUINTO DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-2587
Mailing Address - Country:US
Mailing Address - Phone:646-483-2680
Mailing Address - Fax:
Practice Address - Street 1:41996 W QUINTO DR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-2587
Practice Address - Country:US
Practice Address - Phone:646-483-2680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health