=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346186491
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SABER HOLDINGS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2026
-----------------------------------------------------
Last Update Date | 04/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5629 TOPWATER TRL
-----------------------------------------------------
City | FORT WORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76119-7067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-812-9169
-----------------------------------------------------
Fax | 630-812-9169
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 30 N GOULD ST STE N
-----------------------------------------------------
City | SHERIDAN
-----------------------------------------------------
State | WY
-----------------------------------------------------
Zip | 82801-6317
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-812-9169
-----------------------------------------------------
Fax | 630-812-9169
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. MUJTABA H MOHAMMED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 630-812-9169
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------