SARA SACK (NPI# 1700435302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700435302 |
| Entity Type | Individual |
| Full Name | SARA SACK |
| Practice Address |
24932 Saranac Ct Eustis FL 32736-8911 |
| Practice Telephone | 4076878058 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
24932 SARANAC CT |
| City | EUSTIS |
| State | FL |
| Zip Code | 32736-8911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568831964 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 24420 Sr 44, Eustis, FL 32736 | 2015-09-16 |
| 1114323888 | Cheryl Baylis | Early Intervention Provider Agency | 37328 N County Road 44a, Eustis, FL 32736 | 2014-11-07 |
| 1225387228 | Terryl Christina Chandler | Speech-Language Pathologist | 3173 0ak Brook Lane, Eustis, FL 32736 | 2012-09-05 |
| 1528315355 | Aging Concepts, LLC | Home Health | 3759 Blue Crown Ln, Eustis, FL 32736-2249 | 2012-08-10 |
| 1114474806 | Pinnacle Therapy Services | Speech-Language Pathologist | 3173 Oak Brook Ln, Eustis, FL 32736-2265 | 2016-09-09 |
| 1740761345 | Tamra Ann Crawford | Speech-Language Pathologist | 19341 Spring Oak Dr, Eustis, FL 32736-7214 | 2018-08-22 |
| 1184732109 | Brian Francis Liebersbach | Internal Medicine | 19333 Spring Oak Dr, Eustis, FL 32736-7214 | 2006-08-29 |
| 1588851562 | Brian F Liebersbach Md Phd Pa | Hospitalist | 19333 Spring Oak Dr, Eustis, FL 32736-7214 | 2007-10-03 |
| 1629077573 | Miratiqullah Hessami | Internal Medicine | 33425 E Lake Joanna Dr, Eustis, FL 32736-7249 | 2005-07-21 |
| 1033438759 | M.atiq Hessami,m.d.,p.a. | Clinic/Center | 33425 E Lake Joanna Dr, Eustis, FL 32736-7249 | 2010-05-19 |
| Find all providers in zip 32736 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315780 | Michael Hardin | Technician | 905 Edgewater Dr, Eustis, FL 32726-2615 | 2019-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388801 | Tara Danielle Burgett | Technician | 6437 Maddox Rd, Milton, FL 32570-6327 | 2020-08-26 |
| 1932711678 | Julie Jayne Christofferson | Technician | 4009 Deerwood Cir, Pace, FL 32571-1108 | 2020-08-22 |
| 1386252062 | Rosa M Stephens | Technician | 6002 Vel St, Wimauma, FL 33598-3021 | 2020-07-17 |
| 1487279121 | Michelle Hill | Technician | 75 N Gulf Ave, Crystal River, FL 34429-7611 | 2020-06-09 |
| 1487278628 | Marcia Marie Long | Technician | 454 Georgetown Shortcut Rd, Crescent City, FL 32112-4504 | 2020-06-03 |
| 1740802289 | Anna Marie Cruttenden | Technician | 4336 Sablan Ln, Milton, FL 32583-2470 | 2020-05-06 |
| 1619597507 | Lula Curry | Technician | 106 W Jersey Ave, Brandon, FL 33510-3130 | 2020-04-21 |
| 1447879721 | Bretton Hill | Technician | 1227 Rolling Stone Run, Odessa, FL 33556-6040 | 2020-04-16 |
| 1770119653 | Stephanie J Crenshaw | Technician | 2154 Waseca Ln, Leesburg, FL 34748-3059 | 2020-03-23 |
| 1770118259 | Tatiyana Anisimova | Technician | 2605 Casa Dr, New Port Richey, FL 34655-2235 | 2020-03-05 |
| 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.