Provider Demographics
NPI:1952119539
Name:SANNAS-24
Entity type:Organization
Organization Name:SANNAS-24
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHRINIDHI
Authorized Official - Middle Name:
Authorized Official - Last Name:UPPANGALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-557-6372
Mailing Address - Street 1:6708 THORNTON OAKS CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-1548
Mailing Address - Country:US
Mailing Address - Phone:704-557-6372
Mailing Address - Fax:
Practice Address - Street 1:6708 THORNTON OAKS CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-1548
Practice Address - Country:US
Practice Address - Phone:704-557-6372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care