Provider Demographics
NPI:1508534645
Name:SIAH'S HEART HOME CARE, L.L.C
Entity Type:Organization
Organization Name:SIAH'S HEART HOME CARE, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HADOO
Authorized Official - Middle Name:L
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:919-357-8639
Mailing Address - Street 1:1140 KILDAIRE FARM RD STE 308
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-7600
Mailing Address - Country:US
Mailing Address - Phone:919-357-8369
Mailing Address - Fax:
Practice Address - Street 1:1140 KILDAIRE FARM RD STE 308
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-7600
Practice Address - Country:US
Practice Address - Phone:919-357-8369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care