Healthcare Provider Details

I. General information

NPI: 1760762355
Provider Name (Legal Business Name): SNG HOME PROGRAM LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2011
Last Update Date: 10/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 W OAK ST SUITE 102
DENTON TX
76201-2328
US

IV. Provider business mailing address

4425 W AIRPORT FWY STE 450
IRVING TX
75062-5848
US

V. Phone/Fax

Practice location:
  • Phone: 972-594-0550
  • Fax: 972-594-1714
Mailing address:
  • Phone: 972-594-0550
  • Fax: 972-594-1714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PONNIAH SANKAR
Title or Position: MEDICAL DIRECTOR
Credential: M.D
Phone: 972-594-0550