Provider Demographics
NPI:1811568033
Name:SARJUN CARE LLC
Entity Type:Organization
Organization Name:SARJUN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUKKUTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-287-1872
Mailing Address - Street 1:1011 AMESBURY DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4434
Mailing Address - Country:US
Mailing Address - Phone:817-287-1872
Mailing Address - Fax:
Practice Address - Street 1:8330 LBJ FWY # B655
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1166
Practice Address - Country:US
Practice Address - Phone:817-287-1872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care