Organization Active NPI

Suda Care LLC

  • Non-emergency Medical Transport (VAN)
  • Chandler, AZ
National Provider Identifier
1285393595
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SUDA CARE LLC
Practice address
3341 W Drake St
Chandler, AZ 85226-2317
Phone
(336) 456-1560
Fax
(602) 437-0171
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Saleh Ishag Saleh Baroukh, CEO
Title
Ceo/Owner
Phone
(336) 456-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3341 W Drake St
Chandler, AZ 85226-2317

Mailing address

3341 W Drake St
Chandler, AZ 85226-2317
Phone (336) 456-1560

Other names 1

  • SUDA CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1285393595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 W DRAKE ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262317",
            "telephone_number": "336-456-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 W DRAKE ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262317",
            "telephone_number": "336-456-1560",
            "fax_number": "602-437-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "BAROUKH",
        "authorized_official_first_name": "SALEH",
        "authorized_official_middle_name": "ISHAG SALEH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "336-456-1560",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUDA CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.