Healthcare Provider Details

I. General information

NPI: 1407436025
Provider Name (Legal Business Name): SAX HOSPITALITY MANAGEMENT GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1037 E NORVELL BRYANT HWY
HERNANDO FL
34442-6500
US

IV. Provider business mailing address

1037 E NORVELL BRYANT HWY
HERNANDO FL
34442-6500
US

V. Phone/Fax

Practice location:
  • Phone: 352-249-7670
  • Fax: 352-503-6604
Mailing address:
  • Phone: 352-249-7670
  • Fax: 352-503-6604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CLIFFORD HIGGINS SR.
Title or Position: CEO
Credential:
Phone: 352-249-7670