MEDICARE: SAAM ENTERPRISE 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659030419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAAM ENTERPRISE INC

Provider Business Mailing Address
First Line	:	1000 PALM COAST PKWY SW STE 206
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-4749
Country	:	US
Telephone Number	:	386-213-9800
Fax Number	:	386-213-9801

Provider Business Practice Location Address
First Line	:	1000 PALM COAST PKWY SW STE 206
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-4749
Country	:	US
Telephone Number	:	386-213-9800
Fax Number	:	386-213-9801

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANIL KUMAR MALIK
Credential	:
Telephone Number	:	713-315-7957

Provider Enumeration Date	:	12/09/2021
Last Update Date	:	12/09/2021

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Directions to “SAAM ENTERPRISE INC ” Practice Location

Language	Start Address	Practice Location

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