Healthcare Provider Details

I. General information

NPI: 1588163539
Provider Name (Legal Business Name): SINAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2018
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 VIRGINIA ST
HILLSIDE NJ
07205-2805
US

IV. Provider business mailing address

153 VIRGINIA ST
HILLSIDE NJ
07205-2805
US

V. Phone/Fax

Practice location:
  • Phone: 201-936-0170
  • Fax:
Mailing address:
  • Phone: 201-936-0170
  • 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 Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: PEGGY BAFFOE
Title or Position: MANAGER
Credential:
Phone: 201-936-0170