Provider Demographics
NPI:1417950452
Name:SATTI HOME HEALTH CARE PC
Entity Type:Organization
Organization Name:SATTI HOME HEALTH CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHUKRIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SATTI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-836-8331
Mailing Address - Street 1:9339 CALUMET AVE
Mailing Address - Street 2:STE C-1
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2879
Mailing Address - Country:US
Mailing Address - Phone:219-836-8331
Mailing Address - Fax:219-836-8455
Practice Address - Street 1:9339 CALUMET AVE
Practice Address - Street 2:STE C-1
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2879
Practice Address - Country:US
Practice Address - Phone:219-836-8331
Practice Address - Fax:219-836-8455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN15-7277Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER