Sacred Arms, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

36-8133 Issued in OH

Legal business name

SACRED ARMS, INC.

Practice address

8600 Glenwood Ave Ste 140
Boardman, OH 44512-6565

Phone

(330) 482-3100

Fax

(330) 482-3267

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard E Yarwood

Title

Ceo/President

Phone

(330) 482-3100

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368133

Legal name

SACRED ARMS, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 15, 2006

Last certification

Aug 17, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 31, 2001 in OH

Enrollment address

8600 Glenwood Ave
Ste 140
Boardman, OH 44512-6565

Listed as

Sacred Arms, IncCCN 368133

Ownership

Proprietary

Certified

Feb 15, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1235142001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 GLENWOOD AVE STE 140",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126565",
            "telephone_number": "330-482-3100",
            "fax_number": "330-482-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 GLENWOOD AVE STE 140",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126565",
            "telephone_number": "330-482-3100",
            "fax_number": "330-482-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED ARMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "YARWOOD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "330-482-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "36-8133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142425",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID/MRDD",
            "identifier": "3101468",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "2291514",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESTAR",
            "identifier": "2645963",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Saadi
• Anthony Sabelli, PHARM. D.
• Miranda Kenley Sabo, M.A. CCC-SLP
• Ava Michele Sabol, LPN
• Melissa Kay Sacconi, APRN
• Justin Michael Sadosky
• John Safar, CDCA
• Michelle Lynn Sahli-Kish, RPH
• Bekheit Salamoon, MD
• Bonnie J Salata

• Home Health Agency in Boardman, OH
• Providers in Boardman, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.