Provider Demographics
NPI:1265610984
Name:SABINA HOME HEALTH AGENCY
Entity type:Organization
Organization Name:SABINA HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/SUPERVISING NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:EZURUIKE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:512-452-8100
Mailing Address - Street 1:6901 N LAMAR BLVD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3529
Mailing Address - Country:US
Mailing Address - Phone:512-452-8100
Mailing Address - Fax:512-452-8102
Practice Address - Street 1:6901 N LAMAR BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3529
Practice Address - Country:US
Practice Address - Phone:512-452-8100
Practice Address - Fax:512-452-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health