Healthcare Provider Details

I. General information

NPI: 1316525991
Provider Name (Legal Business Name): SAGESSE CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26961 N TOURMALINE DR
HEBRON MD
21830-2108
US

IV. Provider business mailing address

26961 N TOURMALINE DR
HEBRON MD
21830-2108
US

V. Phone/Fax

Practice location:
  • Phone: 443-359-9154
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. MARDOCHEE TIMOLIEN
Title or Position: MANAGING OWNER
Credential:
Phone: 443-359-9154