Sage LTAC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAGE LTAC LLC

Practice address

8375 Florida Blvd
Denham Springs, LA 70726-7806

Phone

(225) 665-2664

NPI assigned

Aug 21, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Mitchell

Title

Manager

Phone

(225) 368-3181

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1104473438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "225-368-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 FLORIDA BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267806",
            "telephone_number": "225-665-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE LTAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-368-3181"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna R Rowan, RN
• Maureen S. Rucci, CCC-SLP
• Courtney Ruffin, N/A
• Lindsey Hoard Russell, MSW
• Austin Daniel Safford, DDS
• Sage LTAC LLC
• Sage LTAC LLC
• Elizabeth M Sahs, LPC
• Bernard Saltaformaggio, RPH
• Kristy Kalb Saltaformaggio

• Skilled Nursing Facility in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.