MEDICARE: SADIA 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1366936148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SADIA INC

Provider Business Mailing Address
First Line	:	6166 S SANDHILL RD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3221
Country	:	US
Telephone Number	:	702-629-8226
Fax Number	:

Provider Business Practice Location Address
First Line	:	6166 S SANDHILL RD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3221
Country	:	US
Telephone Number	:	702-629-8226
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	SACHA MONIQUE COLLINS
Credential	:
Telephone Number	:	702-629-8226

Provider Enumeration Date	:	06/15/2018
Last Update Date	:	06/15/2018

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Directions to “SADIA INC ” Practice Location

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