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NPI Code Detail

MEDICARE: SAHARA SUPPORT SERVICES LLC

MEDICARE: SAHARA SUPPORT SERVICES 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
1251B00000XCase Management Agency
2253Z00000XIn Home Supportive Care Agency
3385H00000XRespite Care
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1972435881
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAHARA SUPPORT SERVICES LLC
Provider Business Mailing Address
First Line : 7220 28TH ST S
Second Line :
City : FARGO
State : ND
Zip : 58104-4589
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7220 28TH ST S
Second Line :
City : FARGO
State : ND
Zip : 58104-4589
Country : US
Telephone Number : 614-928-0100
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AJIT SUBBA
Credential :
Telephone Number : 614-928-0100
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “SAHARA SUPPORT SERVICES LLC ” Practice Location

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