Healthcare Provider Details

I. General information

NPI: 1164932851
Provider Name (Legal Business Name): SAGECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2017
Last Update Date: 10/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 FOREST ST # 416
KALAMAZOO MI
49001-2747
US

IV. Provider business mailing address

2704 OAK MOOR APT 2202
ARLINGTON TX
76010-0914
US

V. Phone/Fax

Practice location:
  • Phone: 469-412-2436
  • Fax: 469-412-2436
Mailing address:
  • Phone: 469-412-2436
  • 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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHINEDU CHUKWUEMEKA OKEKE
Title or Position: CEO
Credential:
Phone: 469-412-2436