Provider Demographics
NPI:1760762355
Name:SNG HOME PROGRAM LP
Entity Type:Organization
Organization Name:SNG HOME PROGRAM LP
Other - Org Name:TDC HOME PROGRAM LP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PONNIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-594-0550
Mailing Address - Street 1:4425 W AIRPORT FWY STE 450
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-5848
Mailing Address - Country:US
Mailing Address - Phone:972-594-0550
Mailing Address - Fax:972-594-1714
Practice Address - Street 1:2701 W OAK ST
Practice Address - Street 2:SUITE 102
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2328
Practice Address - Country:US
Practice Address - Phone:972-594-0550
Practice Address - Fax:972-594-1714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-26
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health