MEDICARE: SIERRA HOME CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	009072	TX

General Provider Information

NPI Number	:	1619043593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIERRA HOME CARE

Provider Business Mailing Address
First Line	:	808 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5318
Country	:	US
Telephone Number	:	915-532-7759
Fax Number	:	915-298-4445

Provider Business Practice Location Address
First Line	:	808 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5318
Country	:	US
Telephone Number	:	915-532-7759
Fax Number	:	915-298-4445

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	OFELIA PARGA
Credential	:
Telephone Number	:	915-532-7759

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	08/22/2020

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Directions to “SIERRA HOME CARE ” Practice Location

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