SAGEWOOD LLC (NPI# 1760751440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760751440 |
| Entity Type | Organization |
| Organization Name | SAGEWOOD LLC |
| Practice Address |
6281 Oakwood Rd Woodbury MN 55125-2020 |
| Practice Telephone | 6512003082 |
| Practice Fax Number | 6512003084 |
| Mailing Telephone | 6512003082 |
| Mailing Fax Number | 6512003084 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |
| Authorized Official Name | JEANNETTE ROMERO (RN ADMINSTRATOR) |
| Authorized Official Telephone | 6512003082 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 355991 | MN | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SAGEWOOD LLC | 1844 Se 56th Avenue, Portland, OR 97215 |
| Washington State Corporations | SAGEWOOD LLC | 5471 Glade Rd, Mabton, WA 98935-9302 |
| Street Address |
6281 OAKWOOD RD |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440124 | Beyond Senior Care LLC | Assisted Living Facility | 6281 Oakwood Rd, Woodbury, MN 55125-2020 | 2020-02-27 |
| 1568015766 | Angelina Senam Sam | Assisted Living Facility | 6281 Oakwood Rd, Woodbury, MN 55125-2020 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570219 | Woodbury Ops, LLC | Assisted Living Facility | 2195 Century Ave S, Woodbury, MN 55125-2943 | 2018-08-31 |
| 1437630910 | Prelude Homes & Services | Assisted Living Facility | 10020 Raleigh Rd, Woodbury, MN 55129-5004 | 2018-08-23 |
| 1942650619 | The Hendricks Group Inc. | Assisted Living Facility | 10025 Antrim Court, Woodbury, MN 55129 | 2016-06-14 |
| 1437578283 | The Hendricks Group Inc. | Assisted Living Facility | 3610 Mount Vernon Ln, Woodbury, MN 55129-9382 | 2014-04-09 |
| 1588088322 | Phs Woodbury, Inc | Assisted Living Facility | 8725 Promenade Ln, Woodbury, MN 55125-9622 | 2014-02-14 |
| 1568773455 | Premier Care of Woodbury | Assisted Living Facility | 280 Middle Road Tpke, Woodbury, CT 06798-3002 | 2010-06-25 |
| 1598907131 | The Hendricks Group Inc. | Assisted Living Facility | 1265 Belmont Dr, Woodbury, MN 55125-2381 | 2009-03-27 |
| 1184880361 | Senior Care Woodland Elders, LLC | Assisted Living Facility | 2825 Woodlane Dr, Woodbury, MN 55125-2906 | 2008-08-06 |
| 1902089923 | E& E Home Care, Inc | Assisted Living Facility | 11482 Balsam Way, Woodbury, MN 55129-6213 | 2007-12-13 |
| 1518156520 | Generations Health Assoc. Inc., Dba Generations of Woodbury | Assisted Living Facility | 667 Auburntown Rd, Woodbury, TN 37190-5224 | 2007-10-16 |
| Find all providers in WOODBURY | ||||
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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.