Provider Demographics
NPI:1669927380
Name:NAMSARA HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:NAMSARA HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DUKU
Authorized Official - Middle Name:MAYA
Authorized Official - Last Name:SAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-992-6780
Mailing Address - Street 1:5151 VIVID DR
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-3427
Mailing Address - Country:US
Mailing Address - Phone:678-992-6780
Mailing Address - Fax:
Practice Address - Street 1:5151 VIVID DR
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-3427
Practice Address - Country:US
Practice Address - Phone:678-992-6780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067R1484253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care