Healthcare Provider Details

I. General information

NPI: 1780123364
Provider Name (Legal Business Name): SARAH CARE USA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 02/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 ELM PL STE 201
BROOKLYN NY
11201-5826
US

IV. Provider business mailing address

25 ELM PL STE 201
BROOKLYN NY
11201-5826
US

V. Phone/Fax

Practice location:
  • Phone: 201-982-3140
  • Fax: 201-489-8035
Mailing address:
  • Phone: 201-982-3140
  • Fax: 201-489-8035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number9081L001
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number9081L001
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number9081L001
License Number StateNY

VIII. Authorized Official

Name: DR. SHAJADI PARVIN
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 201-982-3140