Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sierra Blanca Rehabilitation LLC

Organization Skilled Nursing Facility · NPI 1760701221

Sierra Blanca Rehabilitation LLC is a Skilled Nursing Facility in Lakeside, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3401 N Lockwood Dr
Lakeside, AZ 85929
Phone: (928) 368-2060
Fax: (928) 368-2061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (AZ)

Record details

NPI number1760701221
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Harvey Pelovsky — Owner · (928) 978-0520
NPI enumeratedMay 24, 2010
Last updated in NPPESFebruary 2, 2011
Mailing address3401 N Lockwood Dr, Lakeside, AZ 85929

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