Provider Demographics
NPI:1740098680
Name:SANA HOMECARE LLC
Entity type:Organization
Organization Name:SANA HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAHRO
Authorized Official - Middle Name:SALAT
Authorized Official - Last Name:GULED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-251-5479
Mailing Address - Street 1:2844 W SAINT GERMAIN ST APT 203
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-1702
Mailing Address - Country:US
Mailing Address - Phone:605-251-5479
Mailing Address - Fax:
Practice Address - Street 1:2719 W DIVISION ST STE 6
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-3400
Practice Address - Country:US
Practice Address - Phone:605-251-5479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health