Healthcare Provider Details

I. General information

NPI: 1639097579
Provider Name (Legal Business Name): SAHARA HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 GLASSHOUSE RD
JAMESTOWN NC
27282-7757
US

IV. Provider business mailing address

2704 GLASSHOUSE RD
JAMESTOWN NC
27282-7757
US

V. Phone/Fax

Practice location:
  • Phone: 336-706-7092
  • Fax:
Mailing address:
  • Phone: 336-706-7092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: SARALA MAHAT
Title or Position: REGISTER NURSE
Credential: NURSE
Phone: 336-706-5831