Provider Demographics
NPI:1871643122
Name:SIERRA SYSTEMS, INC.
Entity Type:Organization
Organization Name:SIERRA SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALMAMY
Authorized Official - Middle Name:COLESON
Authorized Official - Last Name:TURAY
Authorized Official - Suffix:
Authorized Official - Credentials:MHS
Authorized Official - Phone:703-492-1680
Mailing Address - Street 1:14416 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE 20
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-2801
Mailing Address - Country:US
Mailing Address - Phone:703-492-1680
Mailing Address - Fax:703-492-1681
Practice Address - Street 1:14416 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 20
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-2801
Practice Address - Country:US
Practice Address - Phone:703-492-1680
Practice Address - Fax:703-492-1681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-07367251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health