SIERRA WATSON
NPI 1356882898
Custodial Care Facility - Adult Care Home in Live Oak, FL

Active since March 16, 2017
12610 US HIGHWAY 129, LIVE OAK, FL 32060(678) 886-1384(386) 208-0002 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sierra Watson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIERRA WATSON (NPI 1356882898) is a healthcare organization registered as an adult care home in Live Oak, Florida and active in the NPI registry since March 2017. The organization lists Sierra Watson, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1356882898
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSIERRA WATSON
Location Address12610 US HIGHWAY 129Live Oak, FL 32060-6753
Mailing Address12610 Us Highway 129Live Oak, FL 32060-6753 · (678) 886-1384 · Fax (386) 208-0002
Fax(386) 208-0002
Organization SubpartNo
Authorized OfficialSierra WatsonAdministrator/owner · (678) 886-1384
Enumeration DateMarch 16, 2017
NPI 1356882898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in FL · 6906883
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
12610 US HIGHWAY 129, Live Oak, FL 32060

Other Identifiers 1

Medicaid019424000FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Watson's NPI number?

The NPI number for Sierra Watson is 1356882898. It was assigned to this organization in the NPPES registry on March 16, 2017.

Where is Sierra Watson located?

Sierra Watson is located at 12610 Us Highway 129, Live Oak, FL 32060. The listed phone number is (678) 886-1384.

What is Sierra Watson's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Sierra Watson was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.