Sage Health Center PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SAGE HEALTH CENTER PC

Practice address

1440 Duckwood Dr Ste 100
Eagan, MN 55122-1451

Phone

(651) 464-1113

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Grant Pylkas

Title

Chairman

Phone

(651) 238-5558

Specialties & licenses 1

Addresses

Other names 1

• Sage Health Center PC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Mary Neu, NP-C

  • Family Nurse Practitioner
  • Eagan, MN
  • NPI 1245676402
  Medicare reassignment NPD
• Katie Pylkas-Blue, RN

  • Addiction (Substance Use Disorder) Counselor
  • Burnsville, MN
  • NPI 1245647940
  NPD

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1619798329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 96TH ST E",
            "city": "INVER GROVE",
            "state": "MN",
            "postal_code": "550774610",
            "telephone_number": "651-238-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 DUCKWOOD DR STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221451",
            "telephone_number": "651-464-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "PYLKAS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "651-238-5558"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Health Center PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabi Services Company
• Fowsa Sabtow
• Jeffrey Sachs, M.D.
• Sacred Spiral Resources LLC
• Danielle Sadler, L.AC., DIPL. O.M.
• Sage Prairie Laboratory
• Asma Abdullaahi Said
• Maryan Said
• Zakaria Abdulahi Said
• Mumtas Faysal Salah

• Multi-Specialty Clinic/Center in Eagan, MN
• Providers in Eagan, MN by specialty
• Multi-Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.