=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841342565
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SANITY HOME HEALTH CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8075 RITTER
-----------------------------------------------------
City | CENTER LINE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-574-5553
-----------------------------------------------------
Fax | 586-754-5557
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 26199 REGENCY CLUB DR
-----------------------------------------------------
City | WARREN
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48089-6243
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-778-2998
-----------------------------------------------------
Fax | 856-778-3228
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MS. GLORIA COOK
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 856-754-5553
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------