Provider Demographics
NPI:1508237801
Name:SDX HOME CARE OPERATIONS, LLC
Entity Type:Organization
Organization Name:SDX HOME CARE OPERATIONS, LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:AZANKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-621-9649
Mailing Address - Street 1:1971 WASHINGTON ST # 100
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WI
Mailing Address - Zip Code:53024-2122
Mailing Address - Country:US
Mailing Address - Phone:262-376-7510
Mailing Address - Fax:920-933-8448
Practice Address - Street 1:1971 WASHINGTON ST # 100
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-2122
Practice Address - Country:US
Practice Address - Phone:262-376-7510
Practice Address - Fax:920-933-8448
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SDX HOME CARE OPERATIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-13
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care