Provider Demographics
NPI:1528768009
Name:SHAANTI DHAAM LLC
Entity type:Organization
Organization Name:SHAANTI DHAAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUGLANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-519-7121
Mailing Address - Street 1:22 DOIG RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7429
Mailing Address - Country:US
Mailing Address - Phone:973-519-7121
Mailing Address - Fax:973-890-2225
Practice Address - Street 1:24 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6821
Practice Address - Country:US
Practice Address - Phone:973-519-7121
Practice Address - Fax:973-890-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care