MEDICARE: SAANI HEALTHCARE, LLC

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

General Provider Information

NPI Number	:	1306342589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAANI HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	5707 W ROBB LN
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85310-2739
Country	:	US
Telephone Number	:	623-533-6382
Fax Number	:

Provider Business Practice Location Address
First Line	:	5707 W ROBB LN
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85310-2739
Country	:	US
Telephone Number	:	623-533-6382
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SACHIN DIDDEE
Credential	:
Telephone Number	:	623-533-6382

Provider Enumeration Date	:	04/05/2018
Last Update Date	:	04/05/2018

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Directions to “SAANI HEALTHCARE, LLC ” Practice Location

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