Provider Demographics
NPI:1356813737
Name:SARAUSAD HOMES, INC.
Entity Type:Organization
Organization Name:SARAUSAD HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNARDITA
Authorized Official - Middle Name:FRASCO
Authorized Official - Last Name:SARAUSAD
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:206-229-5023
Mailing Address - Street 1:931 12TH AVE N
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-2936
Mailing Address - Country:US
Mailing Address - Phone:425-374-2891
Mailing Address - Fax:425-374-8848
Practice Address - Street 1:20203 20TH AVE NW
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98177-2223
Practice Address - Country:US
Practice Address - Phone:206-533-8386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-22
Last Update Date:2018-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health