Provider Demographics
NPI:1124699715
Name:SIPP HEALTHCARE LLC
Entity type:Organization
Organization Name:SIPP HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:SIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:689-710-1024
Mailing Address - Street 1:2354 WINTER WOODS BLVD STE 2336
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1944
Mailing Address - Country:US
Mailing Address - Phone:407-792-4445
Mailing Address - Fax:
Practice Address - Street 1:2354 WINTER WOODS BLVD STE 2336
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-1944
Practice Address - Country:US
Practice Address - Phone:407-792-4445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty