Provider Demographics
NPI:1003127648
Name:SAPPHIRE ENTEPRISES INC.
Entity Type:Organization
Organization Name:SAPPHIRE ENTEPRISES INC.
Other - Org Name:SAPPHIRE FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:312-675-2073
Mailing Address - Street 1:354 OGLESBY AVE
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-1813
Mailing Address - Country:US
Mailing Address - Phone:773-716-6547
Mailing Address - Fax:
Practice Address - Street 1:354 OGLESBY AVE
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-1813
Practice Address - Country:US
Practice Address - Phone:773-716-6547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management