Organization Active NPI

S.a.G.E., Inc

  • Home Health Agency
  • Hillside, NJ
National Provider Identifier
1235342783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0036000 Issued in NJ
Legal business name
S.A.G.E., INC
Practice address
1156 Liberty Ave
2ND Floor, Suite 7
Hillside, NJ 07205-2142
Phone
(908) 659-9669
Fax
(908) 659-9667
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dianne C Scruggs, RN
Title
Ceo Director of Nursing
Phone
(908) 659-9669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0036000 NJ Primary

Addresses

Primary practice location

1156 Liberty Ave
2ND Floor, Suite 7
Hillside, NJ 07205-2142

Mailing address

1156 Liberty Ave
2ND Floor, Suite 7
Hillside, NJ 07205-2142
Phone (908) 659-9669

Other identifiers 1

IdentifierTypeStateIssuer
9036601MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1156 Liberty Ave
Ste 7
Hillside, NJ 07205
Phone (906) 659-9669

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235342783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 LIBERTY AVE",
            "address_2": "2ND FLOOR, SUITE 7",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052142",
            "telephone_number": "908-659-9669",
            "fax_number": "908-659-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 LIBERTY AVE",
            "address_2": "2ND FLOOR, SUITE 7",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052142",
            "telephone_number": "908-659-9669",
            "fax_number": "908-659-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.A.G.E., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCRUGGS",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO  DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "908-659-9669",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0036000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9036601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.