Healthcare Provider Details

I. General information

NPI: 1134053887
Provider Name (Legal Business Name): SASTS QUALITY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 PENNSYLVANIA AVE APT 204
DISTRICT HEIGHTS MD
20747-3056
US

IV. Provider business mailing address

6565 PENNSYLVANIA AVE APT 204
DISTRICT HEIGHTS MD
20747-3056
US

V. Phone/Fax

Practice location:
  • Phone: 267-624-9833
  • Fax: 227-206-4583
Mailing address:
  • Phone: 267-624-9833
  • Fax: 227-206-4583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAWNTEL CHARLEAN HALL
Title or Position: CEO
Credential:
Phone: 267-624-9833