Healthcare Provider Details

I. General information

NPI: 1871488049
Provider Name (Legal Business Name): SAPIENTIA HEALTH PUBLIC TRUST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 W 110TH ST STE 270
OVERLAND PARK KS
66210-2468
US

IV. Provider business mailing address

9100 S DADELAND BLVD STE 1500
MIAMI FL
33156-7816
US

V. Phone/Fax

Practice location:
  • Phone: 850-390-7173
  • Fax: 850-390-7174
Mailing address:
  • Phone: 850-390-7173
  • Fax: 850-390-7174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICK ALLAN BLANCHARD
Title or Position: TRUSTEE
Credential: MD
Phone: 850-390-7173