Provider Demographics
NPI:1164932851
Name:SAGECARE LLC
Entity Type:Organization
Organization Name:SAGECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHINEDU
Authorized Official - Middle Name:CHUKWUEMEKA
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-412-2436
Mailing Address - Street 1:2704 OAK MOOR APT 2202
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-0914
Mailing Address - Country:US
Mailing Address - Phone:469-412-2436
Mailing Address - Fax:
Practice Address - Street 1:417 FOREST ST # 416
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-2747
Practice Address - Country:US
Practice Address - Phone:469-412-2436
Practice Address - Fax:469-412-2436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-07
Last Update Date:2017-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)