1730374257 NPI number — SATURDAY PARTNERS LLC

Table of content: (NPI 1730374257)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730374257 NPI number — SATURDAY PARTNERS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SATURDAY PARTNERS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SATURDAY PARTNERS HOME HEALTHCARE BRIGHTON
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730374257
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1703 W 5TH ST
Provider Second Line Business Mailing Address:
SUITE 800
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78703-4893
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-634-4900
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1235 W 124TH AVE
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80234-1712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-654-1873
Provider Business Practice Location Address Fax Number:
303-654-1877
Provider Enumeration Date:
09/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LITTLE
Authorized Official First Name:
LEW
Authorized Official Middle Name:
N
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
512-634-4900

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  04Y385 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 72554339 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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