Healthcare Provider Details

I. General information

NPI: 1427897255
Provider Name (Legal Business Name): SAGE NURSING & REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3421 GASCONADE ST
SAINT LOUIS MO
63118-4201
US

IV. Provider business mailing address

3421 GASCONADE ST
SAINT LOUIS MO
63118-4201
US

V. Phone/Fax

Practice location:
  • Phone: 314-832-4700
  • Fax:
Mailing address:
  • Phone: 314-832-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID GARETZ
Title or Position: CFO
Credential:
Phone: 323-987-5954