Provider Demographics
NPI:1841156684
Name:SANTA 91 HOMECARE LLC
Entity type:Organization
Organization Name:SANTA 91 HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GYAN
Authorized Official - Middle Name:KWABENA
Authorized Official - Last Name:ADDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-841-5516
Mailing Address - Street 1:480 RENE CT
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4936
Mailing Address - Country:US
Mailing Address - Phone:413-841-5516
Mailing Address - Fax:
Practice Address - Street 1:480 RENE CT
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-4936
Practice Address - Country:US
Practice Address - Phone:413-841-5516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-24
Last Update Date:2025-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty