Basic Information
| Provider Information | |||||||||
| NPI: | 1992269591 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SAI NURSING HOME SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2421 BROOKSTONE CENTRE PKWY | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 319044501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7066608505 | ||||||||
| FaxNumber: | 7066601454 | ||||||||
| Practice Location | |||||||||
| Address1: | 5363 VETERANS PKWY | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 319044423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7065075441 | ||||||||
| FaxNumber: | 7065075460 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/28/2019 | ||||||||
| LastUpdateDate: | 01/28/2019 | ||||||||
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| AuthorizedOfficialLastName: | PATEL | ||||||||
| AuthorizedOfficialFirstName: | PIYUSH | ||||||||
| AuthorizedOfficialMiddleName: | B | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/PHYSICIAN-OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7065075441 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.