Sage Healthcare Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAGE HEALTHCARE SERVICES INC

Practice address

10855 Church St Apt 1404
Rancho Cucamonga, CA 91730-8582

Phone

(870) 413-1652

Fax

(316) 661-1769

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Stella Kemunto Ondieki, NP

Title

Director

Phone

(870) 413-1652

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1982226585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 CHURCH ST APT 1404",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308582",
            "telephone_number": "870-413-1652",
            "fax_number": "316-661-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 CHURCH ST APT 1404",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308582",
            "telephone_number": "870-413-1652",
            "fax_number": "316-661-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "ONDIEKI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "KEMUNTO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-413-1652",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.