Healthcare Provider Details

I. General information

NPI: 1427999424
Provider Name (Legal Business Name): SAKINA SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1097 BISMARCK DR
CAMPBELL CA
95008-0347
US

IV. Provider business mailing address

1097 BISMARCK DR
CAMPBELL CA
95008-0347
US

V. Phone/Fax

Practice location:
  • Phone: 669-294-1368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: YASSIN KEDIR
Title or Position: OWNER
Credential:
Phone: 669-294-1368