MEDICARE: SAGE PADILLA

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	3747P1801X	Personal Care Attendant		OH

General Provider Information

NPI Number	:	1780531327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAGE PADILLA

Provider Business Mailing Address
First Line	:	3837 PINE SISKIN DR
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-1990
Country	:	US
Telephone Number	:	380-237-6105
Fax Number	:

Provider Business Practice Location Address
First Line	:	3837 PINE SISKIN DR
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-1990
Country	:	US
Telephone Number	:	380-237-6105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ SAGE PADILLA ” Practice Location

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