Provider Demographics
NPI:1538656566
Name:SIERRA HOME HEALTH CARE
Entity Type:Organization
Organization Name:SIERRA HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-359-7272
Mailing Address - Street 1:3500 LAKESIDE CT STE 145
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4866
Mailing Address - Country:US
Mailing Address - Phone:775-359-7272
Mailing Address - Fax:
Practice Address - Street 1:3500 LAKESIDE CT STE 145
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4866
Practice Address - Country:US
Practice Address - Phone:775-359-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005037450Medicaid