Provider Demographics
NPI:1699660019
Name:117 RUBY ENTERPRISES LLC
Entity type:Organization
Organization Name:117 RUBY ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-248-3443
Mailing Address - Street 1:235 N WESTMONTE DR STE 121
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3345
Mailing Address - Country:US
Mailing Address - Phone:407-545-4173
Mailing Address - Fax:407-434-0598
Practice Address - Street 1:235 N WESTMONTE DR STE 121
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3345
Practice Address - Country:US
Practice Address - Phone:407-545-4173
Practice Address - Fax:407-434-0598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care