Provider Demographics
NPI:1912679846
Name:SANGTUM INC
Entity Type:Organization
Organization Name:SANGTUM INC
Other - Org Name:BRIDAN HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-838-7128
Mailing Address - Street 1:19 SPLIT RAIL LN
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-8415
Mailing Address - Country:US
Mailing Address - Phone:302-838-7128
Mailing Address - Fax:
Practice Address - Street 1:19 SPLIT RAIL LN
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-8415
Practice Address - Country:US
Practice Address - Phone:302-838-7128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty