NPI Code Details Logo

NPI 1477308484

NPI 1477308484 : WARSAN HOME HEALTH LLC : MADISON, WI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1477308484
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WARSAN HOME HEALTH LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/22/2024
-----------------------------------------------------
    Last Update Date     |    04/22/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6526 DORAL CIR 
-----------------------------------------------------
    City                 |    MADISON
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    53719-1861
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-479-4997
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6526 DORAL CIR 
-----------------------------------------------------
    City                 |    MADISON
-----------------------------------------------------
    State                |    WI
-----------------------------------------------------
    Zip                  |    53719-1861
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-479-4997
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     GULED  DALMAR 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    469-479-4997
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.