MEDICARE: SAI HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	305	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	305	OTHER	WI	WISCONSIN STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104946581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAI HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	5200 WASHINGTON AVE
Second Line	:	SUITE 227
City	:	RACINE
State	:	WI
Zip	:	53406-4238
Country	:	US
Telephone Number	:	262-632-5886
Fax Number	:	262-632-0074

Provider Business Practice Location Address
First Line	:	5200 WASHINGTON AVE
Second Line	:	SUITE 227
City	:	RACINE
State	:	WI
Zip	:	53406-4238
Country	:	US
Telephone Number	:	262-632-5886
Fax Number	:	262-632-0074

Authorized Official
Title or Position	:	DIRECTOR OF HOME CARE SERVICES
Name	:	MS. JEAN RUMACHIK
Credential	:
Telephone Number	:	262-637-9128

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	08/22/2020

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Directions to “SAI HOME HEALTH CARE INC ” Practice Location

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