Provider Demographics
NPI:1134928476
Name:SANNI CARE LLC
Entity type:Organization
Organization Name:SANNI CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TEJAN-KELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-938-4191
Mailing Address - Street 1:5809 MASTER ST APT 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-3821
Mailing Address - Country:US
Mailing Address - Phone:610-938-4191
Mailing Address - Fax:
Practice Address - Street 1:5809 MASTER ST APT 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-3821
Practice Address - Country:US
Practice Address - Phone:610-938-4191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No251C00000XAgenciesDay Training, Developmentally Disabled Services