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General NPI Number Information
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NPI Number | 1184210593
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Entity Type | Organization
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Legal Business Name | SAPPHIRE HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 12/19/2020
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 445 DEXTER AVE
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City | MONTGOMERY
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State | AL
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Zip | 36104-3775
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Country | US
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Telephone | 334-557-7042
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Fax | 470-300-7778
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Provider Business Mailing Address
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Address Line | 1315 MILSTEAD RD NE STE 101
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City | CONYERS
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State | GA
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Zip | 30012-3824
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Country | US
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Telephone | 470-217-8445
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Fax | 470-300-7778
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELLA STEPHENSON
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Credential | RN
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Telephone | 470-217-8445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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