MEDICARE: SENTREHEART

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1669890547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENTREHEART

Provider Business Mailing Address
First Line	:	300 SAGINAW DR
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-4743
Country	:	US
Telephone Number	:	650-241-6025
Fax Number	:	650-354-1204

Provider Business Practice Location Address
First Line	:	300 SAGINAW DR
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-4743
Country	:	US
Telephone Number	:	650-241-6025
Fax Number	:	650-354-1204

Authorized Official
Title or Position	:	CORPORATE CONTROLLER
Name	:	MR. JAYCE KADIRE
Credential	:
Telephone Number	:	650-241-6025

Provider Enumeration Date	:	03/28/2014
Last Update Date	:	03/28/2014

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Directions to “SENTREHEART ” Practice Location

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