MEDICARE: SAGE HOSPICE NM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1336908052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGE HOSPICE NM LLC

Provider Business Mailing Address
First Line	:	2469 CORRALES RD STE A
Second Line	:
City	:	CORRALES
State	:	NM
Zip	:	87048-9147
Country	:	US
Telephone Number	:	505-737-8213
Fax Number	:	505-508-1514

Provider Business Practice Location Address
First Line	:	2949 MARVIN GARDENS AVE
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-0835
Country	:	US
Telephone Number	:	505-288-4227
Fax Number	:	505-508-1514

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	COLT KECK
Credential	:
Telephone Number	:	505-321-7205

Provider Enumeration Date	:	03/15/2024
Last Update Date	:	03/15/2024

Similar Medicare Providers

1396732988 — MARIBEL E MONROE MD
Practice Location Address:

2480 PROFESSIONAL CT , STE 110
LAS VEGAS, NV
89128-0835

Practice Phone: 702-868-9100
Practice Fax: 702-868-9101

1801910120 — MARIBEL E MONROE MD LTD
Practice Location Address:

2480 PROFESSIONAL CT STE 110
LAS VEGAS, NV
89128-0835

Practice Phone: 702-868-9100
Practice Fax: 708-868-9101

1295992998 — QUALITY MEDICAL IMAGING OF NEVADA LLC
Practice Location Address:

2490 PROFESSIONAL CT , STE 110
LAS VEGAS, NV
89128-0835

Practice Phone: 702-839-1133
Practice Fax: 702-851-1616

1063920411 — GEISA MARGARITA SCOTT
Practice Location Address:

1280 SWEET ORANGE ST
LAS VEGAS, NV
89142-0835

Practice Phone: 505-239-3071
Practice Fax:

1053084905 — SANDRA OVIEDO PA
Practice Location Address:

2480 PROFESSIONAL CT
LAS VEGAS, NV
89128-0835

Practice Phone: 702-405-7100
Practice Fax: 702-405-3017

1194693739 — EMESE HAJDAR
Practice Location Address:

2480 PROFESSIONAL CT # 110
LAS VEGAS, NV
89128-0835

Practice Phone: 702-868-9100
Practice Fax:

Directions to “SAGE HOSPICE NM LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.