Provider Demographics
NPI:1780341719
Name:GALAH PRINCESS LLC
Entity type:Organization
Organization Name:GALAH PRINCESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:NATHREEN
Authorized Official - Last Name:NAKANWAGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-919-7753
Mailing Address - Street 1:405 WALTHAM ST # 156
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-7934
Mailing Address - Country:US
Mailing Address - Phone:857-919-7753
Mailing Address - Fax:
Practice Address - Street 1:405 WALTHAM ST # 156
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7934
Practice Address - Country:US
Practice Address - Phone:857-919-7753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care
No282E00000XHospitalsLong Term Care Hospital
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child