Healthcare Provider Details
I. General information
NPI: 1326636200
Provider Name (Legal Business Name): SAIMA HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2021
Last Update Date: 01/06/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2217 GLENVIEW ST
PHILADELPHIA PA
19149-2403
US
IV. Provider business mailing address
2217 GLENVIEW ST
PHILADELPHIA PA
19149-2403
US
V. Phone/Fax
- Phone: 215-954-7836
- Fax:
- Phone: 215-954-7836
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
HAROON
BASHIR
Title or Position: CEO
Credential: CEO
Phone: 215-954-7836