Healthcare Provider Details

I. General information

NPI: 1700733763
Provider Name (Legal Business Name): SAKIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 W CAMELBACK RD
PHOENIX AZ
85013-2208
US

IV. Provider business mailing address

921 W CAMELBACK RD
PHOENIX AZ
85013-2208
US

V. Phone/Fax

Practice location:
  • Phone: 602-492-2093
  • Fax:
Mailing address:
  • Phone: 602-492-2093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JEREMIAH RAGIRA
Title or Position: OWNER
Credential:
Phone: 602-492-2093