Healthcare Provider Details

I. General information

NPI: 1043033756
Provider Name (Legal Business Name): OSAT,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2024
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3290 PINE ORCHARD LN STE 108
ELLICOTT CITY MD
21042-2374
US

IV. Provider business mailing address

3290 PINE ORCHARD LN STE 108
ELLICOTT CITY MD
21042-2374
US

V. Phone/Fax

Practice location:
  • Phone: 410-775-7616
  • Fax:
Mailing address:
  • Phone: 410-775-7616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HETAL SHAH KHURANA
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 410-775-7616