Sactuary Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1200439 Issued in OH

Legal business name

SACTUARY HEALTH, LLC

Practice address

2592 W 14TH St
Cleveland, OH 44113-4409

Phone

(216) 502-2209

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. David J. Menke, LISW, SAPNPI 1144528332

Title

Principal Member

Phone

(216) 502-2209

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J. Menke, LISW, SAP

  • Social Worker
  • Cleveland, OH
  • NPI 1144528332

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1144646928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 W 14TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134409",
            "telephone_number": "216-502-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 W 14TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134409",
            "telephone_number": "216-502-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACTUARY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "MENKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRINCIPAL MEMBER",
        "authorized_official_telephone_number": "216-502-2209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW, SAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1200439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Richard Sacha, DPT
• Sarah Sacha
• Saloni Sachar, DO
• Monisha Sachdev
• Andrea Jacqueline Sackman
• Tuka N/a Sada, DDS
• Meena Sadaps, MD
• Vijay Sadasivam
• Fasihullah Sadat, CPRS
• Patricia Lynn Saddle

• Clinical Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.