Provider Demographics
NPI:1508391616
Name:1 SAINT LLC
Entity Type:Organization
Organization Name:1 SAINT LLC
Other - Org Name:1 SAINT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:JABONERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-975-3025
Mailing Address - Street 1:13079 ARTESIA BLVD
Mailing Address - Street 2:STE B 236
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1370
Mailing Address - Country:US
Mailing Address - Phone:714-975-3025
Mailing Address - Fax:714-784-2515
Practice Address - Street 1:13079 ARTESIA BLVD
Practice Address - Street 2:STE B 236
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-1370
Practice Address - Country:US
Practice Address - Phone:714-975-3025
Practice Address - Fax:714-784-2515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304700003253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care