Provider Demographics
NPI:1588388680
Name:SABA BONTE LLC
Entity type:Organization
Organization Name:SABA BONTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MAMADI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-589-0999
Mailing Address - Street 1:2916 HAU DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3280
Mailing Address - Country:US
Mailing Address - Phone:614-589-0999
Mailing Address - Fax:
Practice Address - Street 1:2916 HAU DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3280
Practice Address - Country:US
Practice Address - Phone:614-589-0999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No347C00000XTransportation ServicesPrivate Vehicle