Provider Demographics
NPI:1932286465
Name:SANDPIPER HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:SANDPIPER HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:BACCALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-296-3985
Mailing Address - Street 1:1224 VILLAGE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3186
Mailing Address - Country:US
Mailing Address - Phone:843-884-5735
Mailing Address - Fax:866-384-8545
Practice Address - Street 1:1224 VILLAGE CREEK LN
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3186
Practice Address - Country:US
Practice Address - Phone:843-884-5735
Practice Address - Fax:866-384-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHHA-193251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health