Provider Demographics
NPI:1558696419
Name:SAGEALIVE HEALTHCARE CONSULTANTS
Entity Type:Organization
Organization Name:SAGEALIVE HEALTHCARE CONSULTANTS
Other - Org Name:SAGEALIVE HOME HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REX
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-468-6926
Mailing Address - Street 1:21503 STONECROSS TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6804
Mailing Address - Country:US
Mailing Address - Phone:832-468-6926
Mailing Address - Fax:
Practice Address - Street 1:21503 STONECROSS TERRACE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6804
Practice Address - Country:US
Practice Address - Phone:832-468-6926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-11
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care