Provider Demographics
NPI:1700322104
Name:SARTIN'S HOME HEALTHCARE PROVDER SERVICES
Entity Type:Organization
Organization Name:SARTIN'S HOME HEALTHCARE PROVDER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAQUITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-553-1602
Mailing Address - Street 1:PO BOX 2897
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70054-2897
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7440 WRIGHT RD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-2240
Practice Address - Country:US
Practice Address - Phone:404-553-1602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA163WH0200XOtherHOME HEALTH