NPIMap

Organization Active NPI

Sanctum Health Partners, LLC

  • Home Health Agency
  • Carrollton, TX
National Provider Identifier
1598254989
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SANCTUM HEALTH PARTNERS, LLC
Practice address
2121 Midway Rd Ste 145
Carrollton, TX 75006-5263
Phone
(972) 851-1022
Fax
(972) 546-3118
NPI assigned
May 1, 2018
Last updated
Oct 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Jacob Johnson
Title
President/Coo
Phone
(972) 851-1022

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

2121 Midway Rd Ste 145
Carrollton, TX 75006-5263

Mailing address

2121 Midway Rd Ste 145
Carrollton, TX 75006-5263
Phone (972) 851-1022

Other identifiers 1

IdentifierTypeStateIssuer
393069501MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Sanctum Health Partners LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

14673 Midway Rd
Ste 1111
Addison, TX 75001
Phone (972) 851-1022

2121 Midway Rd
Ste 145
Carrollton, TX 75006
Phone (972) 677-8196

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1598254989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MIDWAY RD STE 145",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065263",
            "telephone_number": "972-851-1022",
            "fax_number": "972-546-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MIDWAY RD STE 145",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065263",
            "telephone_number": "972-851-1022",
            "fax_number": "972-546-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUM HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "972-851-1022"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393069501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.