# SIERRA PRIVATE HOMECARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598157307
- **Authorized official:** ALICE M. MCCARY (CEO)
- **Authorized official phone:** (678) 532-0023

## Contact information

- **Practice address:** 75 CINNAMON OAK CIRCLE, COVINGTON, GA 30016
- **Practice address phone:** (678) 532-0023
- **Practice address fax:** (678) 806-4258
- **Mailing address:** 75 CINNAMON OAK CIRCLE, COVINGTON, GA 30016
- **Mailing address phone:** (678) 532-0023
- **Mailing address fax:** (678) 806-4258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | 107-R-1254 | GA | — |
| 374U00000X | Home Health Aide | 107-R-1254 | GA | Yes |

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 03/03/2015