Provider Demographics
NPI:1720652423
Name:SDX HOME CARE OPERATIONS, LLC
Entity Type:Organization
Organization Name:SDX HOME CARE OPERATIONS, LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:AZANKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-621-9649
Mailing Address - Street 1:1 PARK PLZ STE 300
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-2510
Mailing Address - Country:US
Mailing Address - Phone:800-387-2415
Mailing Address - Fax:949-610-7534
Practice Address - Street 1:4361 TECHNOLOGY DR
Practice Address - Street 2:SUITE E
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-4989
Practice Address - Country:US
Practice Address - Phone:925-344-4159
Practice Address - Fax:949-610-7534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care