SAGAMORE SERVICES LLC NPI 1396520847

NPI Information

  • NPI: 1396520847
  • Provider Name: SAGAMORE SERVICES LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 86 THREE HUNTS DR
    PEMBROKE, NC
    ZIP 28372
  • Phone: (910) 522-0408

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NPI Details

SAGAMORE SERVICES LLC is a community based residential treatment facility mental illness in Pembroke, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SAGAMORE SERVICES LLC NPI is 1396520847. The provider is registered as an organization entity type.

The provider's business location address is:

86 THREE HUNTS DR
PEMBROKE, NC
ZIP 28372-998
Phone: (910) 522-0408

The provider's authorized official is Grey Bryant .
The authorized official title is Owner and has the following contact phone number (910) 522-0408.

The enumeration date for this NPI number is 8/31/2023 and was last updated on 6/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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