Provider Demographics
NPI:1407347644
Name:SAHARA HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:SAHARA HOME HEALTHCARE INC
Other - Org Name:1CARE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:EDROSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-405-9596
Mailing Address - Street 1:3087 E WARM SPRINGS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3754
Mailing Address - Country:US
Mailing Address - Phone:702-405-9596
Mailing Address - Fax:702-405-7908
Practice Address - Street 1:3161 E WARM SPRINGS RD STE 400
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3144
Practice Address - Country:US
Practice Address - Phone:702-405-9596
Practice Address - Fax:702-405-7908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care