Provider Demographics
NPI:1821312919
Name:OM SAINATH INC
Entity Type:Organization
Organization Name:OM SAINATH INC
Other - Org Name:PENINSULA NURSNIG CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRBALA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:410-546-3333
Mailing Address - Street 1:2417 N SALISBURY BLVD
Mailing Address - Street 2:UNIT-B
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-2192
Mailing Address - Country:US
Mailing Address - Phone:410-546-3333
Mailing Address - Fax:410-546-1096
Practice Address - Street 1:2417 N SALISBURY BLVD
Practice Address - Street 2:UNIT-B
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2192
Practice Address - Country:US
Practice Address - Phone:410-546-3333
Practice Address - Fax:410-546-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health