Provider Demographics
NPI:1588414957
Name:SERVING ANGELS ADULT DAY CARE LLC
Entity type:Organization
Organization Name:SERVING ANGELS ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAMTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAJGAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-802-4905
Mailing Address - Street 1:5760 BUCKTHORN KNL
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8568
Mailing Address - Country:US
Mailing Address - Phone:513-802-4905
Mailing Address - Fax:
Practice Address - Street 1:7198 PIPPIN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4605
Practice Address - Country:US
Practice Address - Phone:513-802-4905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care