Provider Demographics
NPI:1629597646
Name:SAANVI GROUP OF PENNSYLVANIA LLC
Entity type:Organization
Organization Name:SAANVI GROUP OF PENNSYLVANIA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARISHANTHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGIREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-652-1584
Mailing Address - Street 1:5000 W TILGHMAN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9101
Mailing Address - Country:US
Mailing Address - Phone:610-266-3999
Mailing Address - Fax:310-266-3399
Practice Address - Street 1:5000 W TILGHMAN ST STE 200
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9101
Practice Address - Country:US
Practice Address - Phone:610-266-3999
Practice Address - Fax:310-266-3399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-11
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04950501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health