Provider Demographics
NPI:1154151561
Name:SAGE MANAGEMENT COMPANY LLC
Entity type:Organization
Organization Name:SAGE MANAGEMENT COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEBER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:850-345-8383
Mailing Address - Street 1:2978 STONYBROOK CT
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-2167
Mailing Address - Country:US
Mailing Address - Phone:850-345-8383
Mailing Address - Fax:
Practice Address - Street 1:2978 STONYBROOK CT
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-2167
Practice Address - Country:US
Practice Address - Phone:850-345-8383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty