Provider Demographics
NPI:1427452622
Name:SPEND A DAY, SAGE ELDERCARE, INC
Entity type:Organization
Organization Name:SPEND A DAY, SAGE ELDERCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-598-5500
Mailing Address - Street 1:290 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3507
Mailing Address - Country:US
Mailing Address - Phone:908-273-5500
Mailing Address - Fax:
Practice Address - Street 1:290 BROAD ST
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3507
Practice Address - Country:US
Practice Address - Phone:908-273-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAGE ELDERCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-17
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ908110261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0074217Medicaid