MEDICARE: SIAH HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	385H00000X	Respite Care
5	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1144183005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIAH HEALTH SERVICES

Provider Business Mailing Address
First Line	:	8104 SW 23RD ST # 28D
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-5005
Country	:	US
Telephone Number	:	954-800-3685
Fax Number	:

Provider Business Practice Location Address
First Line	:	8104 SW 23RD ST # 28D
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-5005
Country	:	US
Telephone Number	:	954-800-3685
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANDEANA PRATT
Credential	:
Telephone Number	:	954-800-3685

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “SIAH HEALTH SERVICES ” Practice Location

Language	Start Address	Practice Location

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