Provider Demographics
NPI:1669046116
Name:SINAI HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:SINAI HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:INKA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:954-249-7648
Mailing Address - Street 1:4851 NW 103RD AVE STE 55E
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7948
Mailing Address - Country:US
Mailing Address - Phone:954-249-7648
Mailing Address - Fax:754-223-7496
Practice Address - Street 1:4851 NW 103RD AVE STE 55E
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7948
Practice Address - Country:US
Practice Address - Phone:954-249-7648
Practice Address - Fax:754-223-7496
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SINAI HOME HEALTHCARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty