Healthcare Provider Details

I. General information

NPI: 1861089724
Provider Name (Legal Business Name): SANERGY ADMINISTRATIVE AND HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2020
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2102 E EDGEWOOD DR
LAKELAND FL
33803-3640
US

IV. Provider business mailing address

722 SARATOGA AVE
LAKELAND FL
33815-1279
US

V. Phone/Fax

Practice location:
  • Phone: 863-934-2926
  • Fax: 863-583-0941
Mailing address:
  • Phone: 863-934-2926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANQUINITTA JOHNSON
Title or Position: DIRECTOR
Credential:
Phone: 863-934-2926