NPIMap

Organization Active NPI

Sabreen Village LLC

  • Home Health Aide
  • Niles, OH
National Provider Identifier
1780276675
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
SABREEN VILLAGE LLC
Practice address
1021 Bellair CT Apt 9
Niles, OH 44446-1080
Phone
(330) 219-4134
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Rasheda ProvittNPI 1467053900
Title
Owner
Phone
(330) 219-4134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1021 Bellair CT Apt 9
Niles, OH 44446-1080

Mailing address

1021 Bellair CT Apt 9
Niles, OH 44446-1080
Phone (330) 219-4134

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1780276675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BELLAIR CT APT 9",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444461080",
            "telephone_number": "330-219-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 BELLAIR CT APT 9",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444461080",
            "telephone_number": "330-219-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABREEN VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "PROVITT",
        "authorized_official_first_name": "RASHEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-219-4134"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.