Healthcare Provider Details

I. General information

NPI: 1851163703
Provider Name (Legal Business Name): SARANDA CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 11/11/2023
Certification Date: 11/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19517 PRINCE DR
MACOMB MI
48044-1774
US

IV. Provider business mailing address

19517 PRINCE DR
MACOMB MI
48044-1774
US

V. Phone/Fax

Practice location:
  • Phone: 586-416-1015
  • Fax:
Mailing address:
  • Phone: 586-604-3010
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA LUCAJ
Title or Position: CEO
Credential: CNA
Phone: 586-416-1015