Provider Demographics
NPI:1689033094
Name:SEQUOIA HOME CARE LLC
Entity Type:Organization
Organization Name:SEQUOIA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF-LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-515-5178
Mailing Address - Street 1:1027 GOVERNMENT RD
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-8818
Mailing Address - Country:US
Mailing Address - Phone:724-515-5178
Mailing Address - Fax:724-515-5175
Practice Address - Street 1:1027 GOVERNMENT RD
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-8818
Practice Address - Country:US
Practice Address - Phone:724-515-5178
Practice Address - Fax:724-515-5175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health