Sagebrook SCC, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAGEBROOK SCC, LLC

Practice address

901 Discovery Blvd
Cedar Park, TX 78613-2273

Phone

(512) 259-9993

Fax

(512) 259-8262

NPI assigned

Oct 6, 2009

Organization subpart

No

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

Authorized official

Name

Michael Beal

Title

Chief Executive Officer

Phone

(214) 252-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sagebrook SN Health Center Doing business as

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1912232174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PEARL ST STE 1050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017495",
            "telephone_number": "214-252-7600",
            "fax_number": "214-252-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DISCOVERY BLVD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132273",
            "telephone_number": "512-259-9993",
            "fax_number": "512-259-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGEBROOK SCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-252-7600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001017827",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sagebrook SN Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sagebrook SN Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claire Stephanie Saca, MS, CCC-SLP
• Azalea Saemi, M.D.
• Sage Pharmacy and Stores LLC
• Sagebrook Health Center Inc
• Sagebrook Health Center Inc
• Ryan Lee Sagraves, CPHT
• Melissa Sailor
• Bruna Lynn Salapong, FNP-C
• Maricela Salazar, LCSW
• Isabella Grace Saldana

• Skilled Nursing Facility in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.