Healthcare Provider Details
I. General information
NPI: 1437427093
Provider Name (Legal Business Name): SAANVI GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2011
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11495 PENNSYLVANIA ST STE 270
CARMEL IN
46032-5636
US
IV. Provider business mailing address
11495 PENNSYLVANIA ST STE 270
CARMEL IN
46032-5636
US
V. Phone/Fax
- Phone: 317-214-9999
- Fax: 317-683-9999
- Phone: 317-214-9999
- Fax: 317-683-9999
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VALERIE
JO
DEWBRE
Title or Position: CHIEF COMPLIANCE OFFICER
Credential: RN
Phone: 214-534-0716