Organization Active NPI

Sierra Pride Home Healthcare Agency LLC

  • Home Health Agency
  • Warren, MI
National Provider Identifier
1861624967
Registry record updated Aug 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIERRA PRIDE HOME HEALTHCARE AGENCY LLC
Practice address
29333 Trailwood Dr
Warren, MI 48092-4696
Phone
(248) 321-7206
Fax
(585) 619-9312
NPI assigned
Aug 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2009

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

Authorized official

Name
Mrs. Bridget Hamed, REGISTERED NURSE
Title
Ceo and Administrator
Phone
(248) 321-7206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

29333 Trailwood Dr
Warren, MI 48092-4696

Mailing address

29333 Trailwood Dr
Warren, MI 48092-4696
Phone (248) 321-7206

Other names 1

  • TOM THE TAILOR Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250899200000",
    "number": "1861624967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29333 TRAILWOOD DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924696",
            "telephone_number": "248-321-7206",
            "fax_number": "585-619-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29333 TRAILWOOD DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924696",
            "telephone_number": "248-321-7206",
            "fax_number": "585-619-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA PRIDE HOME HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-22",
        "last_updated": "2009-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "CEO AND ADMINISTRATOR",
        "authorized_official_telephone_number": "248-321-7206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOM THE TAILOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; 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.