Sa Healthcare Management LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SA HEALTHCARE MANAGEMENT LLC

Practice address

9500 Medical Center Dr Ste 107
Upper Marlboro, MD 20774-3701

Phone

(240) 609-5454

NPI assigned

Feb 19, 2024

Last updated

Jul 17, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SA HEALTHCARE MANAGEMENT LLCAs reported in NPPES

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

Authorized official

Name

Ms. Sheena AlstonNPI 1821965971

Title

Ceo

Phone

(240) 609-5454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Tax ID family

Sa Healthcare Management LLC3 organizations share this tax ID, including this one

Part of

Sa Healthcare Management LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sa Healthcare Management LLC

  dba Momentum Health Management Services

  • Community/Behavioral Health Agency
  • Upper Marlboro, MD
  • NPI 1154186260
  NPD tax ID
• Sa Healthcare Management LLC

  dba Momentum Health Management Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Upper Marlboro, MD
  • NPI 1609631712
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheena T Alston, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Largo, MD
  • NPI 1821965971

  DC

  Medicare reassignment NPD (past) Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1528823630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 107",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 107",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207743701",
            "telephone_number": "240-609-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA HEALTHCARE MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SA HEALTHCARE MANAGEMENT LLC",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-609-5454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Russell
• Patrick Jayson Russell
• Sharon Sherise Russell, DDS
• Avis Ryan
• Sa Healthcare Management LLC (Momentum Health Management Services)
• Sa Healthcare Management LLC (Momentum Health Management Services)
• Haji Z Saccoh
• Paul Sackstein
• Safe Harbor Christian Counseling
• Safe Space for Family Healing

• Mental Health Clinic/Center (Including Community Mental Health Center) in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.