Sage Prairie

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SAGE PRAIRIE

Practice address

13005 County Road 5
Burnsville, MN 55337

Phone

(952) 451-8160

Fax

(612) 437-4913

NPI assigned

Apr 2, 2014

Organization subpart

No

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

Authorized official

Name

Marcus Blue Jr.

Title

Operations Officer

Phone

(952) 451-8160

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Katie Pylkas-Blue, RN

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

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1720406168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 COUNTY ROAD 5",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372226",
            "telephone_number": "952-451-8160",
            "fax_number": "612-437-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 COUNTY ROAD 5",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "55337",
            "telephone_number": "952-451-8160",
            "fax_number": "612-437-4913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13003 County Road 5",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "55337",
            "country_code": "US",
            "telephone_number": "952-451-8160",
            "fax_number": "612-437-4913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 Duckwood Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551221399",
            "country_code": "US",
            "telephone_number": "877-915-7243 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGE PRAIRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "952-451-8160",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Sabal
• Amandeep Sachdeva, DDS
• Safe Step Tubs of MN
• Safehome Support L.L.C.
• Safeway LLC
• Emily Sagstetter
• Sahra Sahal
• Saham Home Health Care LLC
• Aisha Said
• Bile Said

• Substance Use Disorder Rehabilitation Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.