NPIMap

Organization Active NPI

Sierra Health Care Management & Support Services LLC

  • In Home Supportive Care Agency
  • Washington, DC
National Provider Identifier
1225495633
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
100216000004 Issued in DC
Legal business name
SIERRA HEALTH CARE MANAGEMENT & SUPPORT SERVICES LLC
Practice address
3916 12TH St NE
Washington, DC 20017-2632
Phone
(202) 213-7412
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elkanah Faux, PH.D.
Title
Director
Phone
(571) 213-4352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 100216000004 DC Primary

Addresses

Primary practice location

3916 12TH St NE
Washington, DC 20017-2632

Mailing address

3916 12TH St NE
Washington, DC 20017-2632
Phone (202) 213-7412

National Provider Directory

National Provider Directory

Locations

3916 12th St NE
Washington, DC 20017
Phone (202) 213-7412

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1225495633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 12TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172632",
            "telephone_number": "202-213-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 12TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172632",
            "telephone_number": "202-213-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA HEALTH CARE MANAGEMENT & SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "FAUX",
        "authorized_official_first_name": "ELKANAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "571-213-4352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "DC",
            "license": "100216000004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.