Provider Demographics
NPI:1992829642
Name:SAI HOME CARE
Entity Type:Organization
Organization Name:SAI HOME CARE
Other - Org Name:SAI HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARI
Authorized Official - Middle Name:S
Authorized Official - Last Name:VELKURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-859-4165
Mailing Address - Street 1:21010 E STODDARD WELLS ROAD
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-0000
Mailing Address - Country:US
Mailing Address - Phone:626-859-4165
Mailing Address - Fax:626-962-1266
Practice Address - Street 1:21010 STODDARD WELLS RD
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-1371
Practice Address - Country:US
Practice Address - Phone:626-859-4165
Practice Address - Fax:626-962-1266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5074600001332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5074600001Medicare NSC