Provider Demographics
NPI:1528865946
Name:SIERRA LIFECARE, INC.
Entity type:Organization
Organization Name:SIERRA LIFECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:RABONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-741-8160
Mailing Address - Street 1:7200 W COMMERCIAL BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2148
Mailing Address - Country:US
Mailing Address - Phone:954-741-8160
Mailing Address - Fax:954-741-9109
Practice Address - Street 1:7900 NW 155TH ST STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5844
Practice Address - Country:US
Practice Address - Phone:954-741-8160
Practice Address - Fax:954-741-9109
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIERRA LIFECARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health