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NPI 1528865946

NPI 1528865946 : SIERRA LIFECARE, INC. : MIAMI LAKES, FL

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General NPI Number Information
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    NPI Number           |    1528865946
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    Entity Type          |    Organization 
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    Legal Business Name  |    SIERRA LIFECARE, INC. 
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Dates
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    Enumeration Date     |    02/25/2025
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    Last Update Date     |    02/25/2025
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Provider Practice Location Address
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    Address Line         |    7900 NW 155TH ST STE 101 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33016-5844
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    Country              |    US
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    Telephone            |    954-741-8160
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    Fax                  |    954-741-9109
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Provider Business Mailing Address
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    Address Line         |    7200 W COMMERCIAL BLVD STE 206 
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    City                 |    LAUDERHILL
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    State                |    FL
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    Zip                  |    33319-2148
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    Country              |    US
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    Telephone            |    954-741-8160
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    Fax                  |    954-741-9109
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Authorized Official
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    Title or Position    |    PRESIDENT/ADMINISTRATOR
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    Name                 |    MR. CHAD  RABONE 
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    Credential           |    
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    Telephone            |    954-741-8160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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