Provider Demographics
NPI:1609591353
Name:SABRA DEERFIELD OPERATIONS, LLC
Entity Type:Organization
Organization Name:SABRA DEERFIELD OPERATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-276-7646
Mailing Address - Street 1:3455 NANTUCKET CIR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-3732
Mailing Address - Country:US
Mailing Address - Phone:513-583-5170
Mailing Address - Fax:
Practice Address - Street 1:3455 NANTUCKET CIR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-3732
Practice Address - Country:US
Practice Address - Phone:513-583-5170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility