Sandgala, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

0000000038 Issued in TN

Legal business name

SANDGALA, LLC

Practice address

2424 E Stone Dr
Kingsport, TN 37660-4739

Phone

(423) 378-3100

Fax

(423) 378-5632

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Kathy Bellande

Title

MGMT Company Representative

Phone

(502) 228-8131

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Crown Cypress Doing business as

Locations

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1437589033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604739",
            "telephone_number": "423-378-3100",
            "fax_number": "423-378-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604739",
            "telephone_number": "423-378-3100",
            "fax_number": "423-378-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDGALA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BELLANDE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MGMT COMPANY REPRESENTATIVE",
        "authorized_official_telephone_number": "502-228-8131"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "L000000012140",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "0000000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE/MEDICAID",
            "identifier": "H445537",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Cypress",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonmichael Samsel, DO
• B Jeffrey Sanders, MD
• Holly A Sanders, MD
• Kathy Sellers Sanders, D.M.D.
• Nicholas B Sanders, PTA
• Sap Psychiatry, LLC
• Robert Saunders, MD
• Erin L. Sawyers, NP
• Sarah Danielle Saylor
• SBH-Kingsport

• Assisted Living Facility in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.