Individual ProviderSarah RhodesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358(310) 825-9111(805) 217-6812PECOS EnrollmentBased on the most recent information from CMS, provider Sarah Rhodes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1689280562Provider TypeIndividualFull NameRhodes, SarahCredentialAGACNP-BCGenderFemaleSole ProprietorNoEnumeration Date9/16/2020Last Updated9/16/2020Contact InformationPractice LocationPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358Phone(310) 825-9111FaxUnlisted FaxMailing LocationMailing Address12665 Village Ln Apt 2206, Playa Vista, CA 90094-2799Phone(805) 217-6812FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LA2100XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95015465California