Sierra Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SIERRA HOME CARE, LLC

Practice address

2064 Marengo St
Los Angeles, CA 90033-1353

Phone

(323) 576-2250

Fax

(323) 576-2252

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Jason Sungjin Lee

Title

Supervisor

Phone

(213) 393-0063

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1245926997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331353",
            "telephone_number": "323-576-2250",
            "fax_number": "323-576-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331353",
            "telephone_number": "323-576-2250",
            "fax_number": "323-576-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SUNGJIN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "213-393-0063"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.