Healthcare Provider Details

I. General information

NPI: 1205744349
Provider Name (Legal Business Name): SAJ SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9432 117TH ST
SOUTH RICHMOND HILL NY
11419-1202
US

IV. Provider business mailing address

PO BOX 190028
SOUTH RICHMOND HILL NY
11419-0028
US

V. Phone/Fax

Practice location:
  • Phone: 419-413-1944
  • Fax:
Mailing address:
  • Phone: 419-413-1944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL

VIII. Authorized Official

Name: SOURABH JAIN
Title or Position: OWNER
Credential:
Phone: 419-413-1944