Sage Community Providers, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

800613749 Issued in TX

Legal business name

SAGE COMMUNITY PROVIDERS, INC

Practice address

12807 Ashford Meadow Dr
Houston, TX 77082-2136

Phone

(504) 258-4474

NPI assigned

Jan 1, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Osagie Owen Odeh

Title

Ceo

Phone

(504) 258-4474

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1293840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293840000000",
    "number": "1437453727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12807 ASHFORD MEADOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822136",
            "telephone_number": "504-258-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12807 ASHFORD MEADOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822136",
            "telephone_number": "504-258-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE COMMUNITY PROVIDERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-01",
        "last_updated": "2011-01-01",
        "status": "A",
        "authorized_official_last_name": "ODEH",
        "authorized_official_first_name": "OSAGIE",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-258-4474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "800613749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800613749",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole Sage

• Case Management Agency in Houston, TX
• Providers in Houston, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2011; 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.