Sacred Space Home Care LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SACRED SPACE HOME CARE LLC.

Practice address

6308 Westchester LN NE
Atlanta, GA 30345-2553

Phone

(314) 677-7910

NPI assigned

Mar 5, 2022

Organization subpart

No

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

Authorized official

Name

Ayesha Mahdi

Title

Owner

Phone

(314) 677-7910

Specialties & licenses 1

Addresses

Tax ID family

Sacred Space Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sacred Space Home Care LLC

  • In Home Supportive Care Agency
  • Silver Spring, MD
  • NPI 1366199606
  NPD tax ID

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1972250306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 WESTCHESTER LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 WESTCHESTER LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452553",
            "telephone_number": "314-677-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE HOME CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "MAHDI",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-677-7910"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen S Sack, LCSW
• David Jeffrey Sackel, MD, MBA
• Njideka Christiana Sackey, DNP, APRN, NP-C
• Ruth Lauren Sacks, M.D.
• Jaime Hernan Sacotto, M.D.
• Sacred Touch Home Care LLC
• Ofer Sadan, MD, PHD
• Said Abubaker Sadat, MD
• Jaya Sadda
• Mahsan Sadegh Aghdam

• Home Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.