Sierra Lifecare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA21863096 Issued in FL

Legal business name

SIERRA LIFECARE, INC.

Practice address

7200 W Commercial Blvd Ste 206&207
Lauderhill, FL 33319-2148

Phone

(954) 741-8160

Fax

(954) 741-9109

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Chad Rabone

Title

Administrator

Phone

(954) 741-8160

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 109571

Legal name

SIERRA LIFECARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 29, 2009

Last certification

Feb 4, 2016

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 7, 1995 in FL

Enrollment address

7200 West Commercial Blvd
Suite 206
Lauderhill, FL 33319-2148

Listed as

Sierra Lifecare IncCCN 109571

Ownership

Proprietary

Certified

Dec 29, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

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

CLIA laboratory certificates

Tax ID family

Sierra Lifecare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sierra Lifecare, Inc.

  • Home Health Agency
  • Miami Lakes, FL
  • NPI 1528865946
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sierra Lifecare, Inc.

  • Home Health Agency
  • Miami Lakes, FL
  • NPI 1528865946
  NPPES parent name

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1851380331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W COMMERCIAL BLVD STE 206&207",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192148",
            "telephone_number": "954-741-8160",
            "fax_number": "954-741-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W COMMERCIAL BLVD STE 206&207",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192148",
            "telephone_number": "954-741-8160",
            "fax_number": "954-741-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA LIFECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "RABONE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-741-8160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA21863096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650539200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jpsierra23@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "csv",
            "address_1": "7200 W Commercial Blvd Ste 206&207",
            "city": "Lauderhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333192148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheldon H. Kreda, O.D., P.a.
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• Ayanna Shields, BSN, RN
• Rhonda Jean Shultz, OTR
• Alison Anna Siegel, MFC
• Carlos Alberto Sierra
• Evelyn Antonella Silva Ocampo
• Silver Impact, Inc
• Bradley I Simon, D.C.
• Ashley Michelle Siudmak, PTA

• Home Health Agency in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.