Organization Active NPI

Sierra Homehealth Care Agency, LLC

  • Home Health Agency
  • Harrisburg, PA
National Provider Identifier
1497080691
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
04150501 Issued in PA
Legal business name
SIERRA HOMEHEALTH CARE AGENCY, LLC
Practice address
2337 N 3Rd St
Harrisburg, PA 17110-1816
Phone
(717) 616-0134
Fax
(717) 695-2165
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Mr. Peter Mansaray
Title
Ceo
Phone
(717) 616-0134

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 04150501 PA Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X 10063601 PA

Addresses

Primary practice location

2337 N 3Rd St
Harrisburg, PA 17110-1816

Mailing address

401 Erford Rd
Camp Hill, PA 17011-1118
Phone (717) 695-2165

Other identifiers 1

IdentifierTypeStateIssuer
04150501OtherPADEPART MENT OF HEALTH- MEDICARE LICENSE

Other names 1

  • Sierra Allied Health & Homecare Agency, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2337 N 3rd St
#B3
Harrisburg, PA 17110
Phone (717) 889-5312

2337 N 3rd St
Harrisburg, PA 17110
Phone (717) 210-1599

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1497080691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111118",
            "telephone_number": "717-695-2165",
            "fax_number": "717-695-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101816",
            "telephone_number": "717-616-0134",
            "fax_number": "717-695-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA HOMEHEALTH CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "MANSARAY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-616-0134",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "04150501",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "10063601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPART MENT OF HEALTH- MEDICARE LICENSE",
            "identifier": "04150501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Allied Health & Homecare Agency, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.