Healthcare Provider Details

I. General information

NPI: 1184210593
Provider Name (Legal Business Name): SAPPHIRE HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2020
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 DEXTER AVE
MONTGOMERY AL
36104-3775
US

IV. Provider business mailing address

1315 MILSTEAD RD NE STE 101
CONYERS GA
30012-3824
US

V. Phone/Fax

Practice location:
  • Phone: 334-557-7042
  • Fax: 470-300-7778
Mailing address:
  • Phone: 470-217-8445
  • Fax: 470-300-7778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELLA STEPHENSON
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 470-217-8445