Provider Demographics
NPI:1457051682
Name:SAI DHAM LLC
Entity Type:Organization
Organization Name:SAI DHAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEYURKUMAR BABUBHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-348-6759
Mailing Address - Street 1:411 HAMILTON CRES
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-5330
Mailing Address - Country:US
Mailing Address - Phone:727-230-9637
Mailing Address - Fax:
Practice Address - Street 1:411 HAMILTON CRES
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-5330
Practice Address - Country:US
Practice Address - Phone:727-230-9637
Practice Address - Fax:727-230-6943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No302R00000XManaged Care OrganizationsHealth Maintenance Organization