Provider Demographics
NPI:1548717408
Name:SASK HOME CARE
Entity type:Organization
Organization Name:SASK HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCRIVEN-KANTEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-346-3057
Mailing Address - Street 1:6601 CREEKVIEW CT
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-2665
Mailing Address - Country:US
Mailing Address - Phone:803-346-3057
Mailing Address - Fax:
Practice Address - Street 1:6728 HIGHWAY 85
Practice Address - Street 2:SUITE C3
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2317
Practice Address - Country:US
Practice Address - Phone:803-346-3057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care