Healthcare Provider Details

I. General information

NPI: 1427452622
Provider Name (Legal Business Name): SPEND A DAY, SAGE ELDERCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 BROAD ST
SUMMIT NJ
07901-3507
US

IV. Provider business mailing address

290 BROAD ST
SUMMIT NJ
07901-3507
US

V. Phone/Fax

Practice location:
  • Phone: 908-273-5500
  • Fax:
Mailing address:
  • Phone: 908-273-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number908110
License Number StateNJ

VIII. Authorized Official

Name: ANGELA SULLIVAN
Title or Position: INTERIM EXECUTIVE DIRECTOR
Credential:
Phone: 908-598-5500