SAGE CREEK LLC (NPI# 1215445630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215445630 |
| Entity Type | Organization |
| Organization Name | SAGE CREEK LLC |
| Practice Address |
101 N Madison Malden MO 63863 |
| Practice Telephone | 5732812103 |
| Practice Fax Number | 5732812168 |
| Mailing Telephone | 5732812103 |
| Mailing Fax Number | 5732812168 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Authorized Official Name | JOHN WELCH (OWNER) |
| Authorized Official Telephone | 5732768916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Sage Creek LLC | 795 River Road, Suite B, Fair Haven, NJ 07704 |
| North Carolina Corporations | SAGE CREEK LLC | 5752 Forest Lawn Ct, Raleigh, NC 27612 |
| Virginia Business Entities | Sage Creek LLC | 1717 Remlik Drive, Urbanna, Virginia 23175 |
| Street Address |
101 N MADISON |
| City | MALDEN |
| State | MO |
| Zip Code | 63863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396253712 | Sage Creek Home Care LLC | Homemaker | 101 N Madison, Malden, MO 63863 | 2018-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790801736 | Tisha S Earnheart | Speech-Language Pathologist | 505 Burkhart, Malden, MO 63863 | 2007-03-21 |
| 1225153026 | Malden R-i School District | Local Education Agency (LEA) | 505 Burkhart Street, Malden, MO 63863 | 2007-03-20 |
| 1245395292 | Ray D Bess | Optometrist | 107 East Main St, Malden, MO 63863 | 2006-12-27 |
| 1346301504 | Dexter Hosptial LLC | Clinic/Center | 1707 N Doulgas, Malden, MO 63863 | 2006-12-12 |
| 1730208588 | Cynthia C Hubbard | Speech-Language Pathologist | 505 Burkhart, Malden, MO 63863 | 2007-03-29 |
| 1619095544 | Jeannette G Provance | Speech-Language Pathologist | 505 Burkhart, Malden, MO 63863 | 2007-03-27 |
| 1275717233 | Rita Knight-ritchie Dba Friends In-home Services | Home Health | 3020 Douglas Hwy. 25 North, Malden, MO 63863-0197 | 2007-12-26 |
| 1215003280 | Rita D. Knight-ritchie Dba Friends In-home Services | Home Health | 3020 N. Douglas, Malden, MO 63863-0197 | 2006-11-28 |
| 1417194739 | Malden Chiropractic Health Center, P.C. | Chiropractor | 2103 N Douglass St, Malden, MO 63863-1141 | 2009-01-08 |
| 1972554392 | Ggnsc Malden II LLC | Skilled Nursing Facility | 500 Barrett Dr, Malden, MO 63863-1204 | 2006-05-12 |
| Find all providers in zip 63863 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396253712 | Sage Creek Home Care LLC | Homemaker | 101 N Madison, Malden, MO 63863 | 2018-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840360 | New Heights Homehealth Care, LLC | Homemaker | 4435 N Highway 67, Florissant, MO 63034-2831 | 2020-10-28 |
| 1104426659 | Midwest Home Health Care, Inc. | Homemaker | 1 W Armour Blvd Ste 101, Kansas City, MO 64111-2087 | 2020-10-26 |
| 1770199655 | Brittny Lynn Cockrell | Homemaker | 1105 Borden Dr, Florissant, MO 63031-1301 | 2020-09-16 |
| 1831717339 | Shantell Small | Homemaker | 1355 Taos Dr, Saint Louis, MO 63138-2317 | 2020-07-10 |
| 1942820063 | Loving Hearts Home Care LLC | Homemaker | 1409 Washington Ave Ste 416, Saint Louis, MO 63103-1917 | 2020-04-18 |
| 1760018436 | Nana and Jack's In-home Healthcare,llc | Homemaker | 1409 Washington Ave Ste 419, Saint Louis, MO 63103-1917 | 2020-03-13 |
| 1740812890 | Rotha Montez Perkins | Homemaker | 6815 Askew Ave, Kansas City, MO 64132-3017 | 2020-02-06 |
| 1447890413 | Charlene Coates | Homemaker | 9516 Drury Ave Apt 108, Kansas City, MO 64137-1234 | 2020-01-08 |
| 1881246056 | Reliable Home Health Service LLC | Homemaker | 2126 Woodson Rd, Saint Louis, MO 63114-5616 | 2019-07-09 |
| 1891257721 | Erica Ray | Homemaker | 1454 Hogan St, Saint Louis, MO 63106-4733 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.