MEDICARE: SIERRA LIFECARE, INC.

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	HHA21863096	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851380331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIERRA LIFECARE, INC.

Provider Business Mailing Address
First Line	:	7200 W COMMERCIAL BLVD STE 206&207
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2148
Country	:	US
Telephone Number	:	954-741-8160
Fax Number	:	954-741-9109

Provider Business Practice Location Address
First Line	:	7200 W COMMERCIAL BLVD STE 206&207
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2148
Country	:	US
Telephone Number	:	954-741-8160
Fax Number	:	954-741-9109

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. CHAD RABONE
Credential	:
Telephone Number	:	954-741-8160

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	07/15/2020

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