Provider Demographics
NPI:1356003248
Name:DHRUV 1 LLC
Entity Type:Organization
Organization Name:DHRUV 1 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:GITABEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-209-6868
Mailing Address - Street 1:203 WADMALAW DR
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-7786
Mailing Address - Country:US
Mailing Address - Phone:848-209-6868
Mailing Address - Fax:
Practice Address - Street 1:203 WADMALAW DR
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673-7786
Practice Address - Country:US
Practice Address - Phone:848-209-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-08
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care