Provider Demographics
NPI:1780833665
Name:SABAHO HOME SERVICES INC
Entity Type:Organization
Organization Name:SABAHO HOME SERVICES INC
Other - Org Name:SABAHO HOME SERVICES INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-386-2230
Mailing Address - Street 1:1695 NW 9TH AVE
Mailing Address - Street 2:1695 NW 9 TH AVE
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1409
Mailing Address - Country:US
Mailing Address - Phone:305-386-2230
Mailing Address - Fax:305-386-2231
Practice Address - Street 1:13780 SW 56TH ST
Practice Address - Street 2:212
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6058
Practice Address - Country:US
Practice Address - Phone:305-386-2230
Practice Address - Fax:305-386-2231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3134502251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health