Sanctuary Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

381837 Issued in MN

Legal business name

SANCTUARY HEALTHCARE SERVICES LLC

Practice address

1623 Silver LN
New Brighton, MN 55112-7457

Phone

(763) 400-4430

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Oluwakemi Ajayi

Title

Owner

Phone

(763) 439-8390

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1912416215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 BRITTANY DR N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 SILVER LN",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127457",
            "telephone_number": "763-400-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 78th Ct N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554433433",
            "country_code": "US",
            "telephone_number": "763-400-4430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 N Owasso Blvd",
            "address_purpose": "LOCATION",
            "city": "Shoreview",
            "state": "MN",
            "postal_code": "551263074",
            "country_code": "US",
            "telephone_number": "763-400-4430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANCTUARY HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-439-8390"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "381837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE HOME CARE LICENSE",
            "identifier": "381837",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamed Said
• Mohamud Abdirahman Said
• Setareh Salehi-Baker
• Salma Helal, D.D.S., PLLC
• Sanctuary Behavioral Health LLC
• Steven John Sandage, PH D LP
• Rebecca Sanders, MA
• Esterlita Sarmiento
• Susan Marie Sawyer-Demaris, RN, MS, CNS
• Jessica Sawyer, M.A., L.M.F.T

• Home Health Agency in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.