Provider Demographics
NPI:1619264223
Name:SABENA HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:SABENA HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:I
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-535-3736
Mailing Address - Street 1:83 VICTOR ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-4900
Mailing Address - Country:US
Mailing Address - Phone:240-535-3736
Mailing Address - Fax:443-292-8399
Practice Address - Street 1:2301 MANOMET CT
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-3214
Practice Address - Country:US
Practice Address - Phone:240-535-3736
Practice Address - Fax:443-292-8399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-03
Last Update Date:2011-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC00000000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health