Provider Demographics
NPI:1376236430
Name:SYANGI HEALTHCARE LLC
Entity Type:Organization
Organization Name:SYANGI HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:OKUAGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-233-3919
Mailing Address - Street 1:1578 E SILVER REEF DR
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-6424
Mailing Address - Country:US
Mailing Address - Phone:480-870-7669
Mailing Address - Fax:520-341-8024
Practice Address - Street 1:1578 E SILVER REEF DR
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-6424
Practice Address - Country:US
Practice Address - Phone:480-870-7669
Practice Address - Fax:520-341-8024
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYANGI HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health