Sage Wage LLC

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

Legal business name

SAGE WAGE LLC

Practice address

Saybrook Rd SW
Palm Bay, FL 32908-7129

Phone

(321) 795-0486

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Nicole Revell

Title

Operations Manager

Phone

(321) 795-0486

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicole Thomas

  • Chore Provider
  • Dayton, OH
  • NPI 1356852412
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1669983631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 SAYBROOK RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAYBROOK RD SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329087129",
            "telephone_number": "321-795-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE WAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "REVELL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "321-795-0486"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RX Care Four LLC
• Reuben Saavedra I, ATC, LAT
• Stephen Saavedra
• Karla Patricia Sabillon, MEDICAL FOSTER
• Rina Shiella Miranda Saculles
• Christi Saint Juste
• Saint Mary Medical
• Saint Mary Medical
• Lizabeth Nonell Saint-Hilaire, M.D.
• Adalaide Salas, CLC

• Nursing Facility Supplies (DME) in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Nursing Facility Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.