Provider Demographics
NPI:1700079936
Name:SATO HOME AND HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:SATO HOME AND HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:SADE
Authorized Official - Middle Name:ADEOLA
Authorized Official - Last Name:ADENUSI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-442-8693
Mailing Address - Street 1:1133 LAKEWOOD DR S
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55119-5967
Mailing Address - Country:US
Mailing Address - Phone:651-442-8693
Mailing Address - Fax:651-735-1779
Practice Address - Street 1:1133 LAKEWOOD DR S
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55119-5967
Practice Address - Country:US
Practice Address - Phone:651-442-8693
Practice Address - Fax:651-735-1779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN334189311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility