SIERRA VISTA RESIDENTIAL CARE HOME,INC (NPI# 1023200151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023200151 |
| Entity Type | Organization |
| Organization Name | SIERRA VISTA RESIDENTIAL CARE HOME,INC |
| Practice Address |
782 N Shasta Ave Farmersville CA 93223-1148 |
| Practice Telephone | 5597470399 |
| Practice Fax Number | 5597470604 |
| Mailing Telephone | 5597470399 |
| Mailing Fax Number | 5597470604 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2010-09-15 |
| Authorized Official Name | MR. BRUCE R KEMPF (OWNER/LICENSEE/CEO) |
| Authorized Official Telephone | 5597470399 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 120000609 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 55G365 | 05 | |
| CA | PROVIDER NUMBER | LTC80296G | 01 |
| Street Address |
782 N SHASTA AVE |
| City | FARMERSVILLE |
| State | CA |
| Zip Code | 93223-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518186352 | A Doshi Dental Corp | Dentist | 680 E Visalia Road, A Doshi Dental Crop Dba High Sierra Dental, Farmersville, CA 93223 | 2007-04-24 |
| 1891888590 | Jan Louise Taylor | Nurse Practitioner | 660 E Visalia Road, Farmersville, CA 93223 | 2006-10-02 |
| 1699741777 | Dennis Jaye Wallace | Optometrist | 662 East Visalia Road, Farmersville, CA 93223 | 2006-02-27 |
| 1861687568 | James Erwin Stewart | Dentist | 1122 North Matthew Ave, Farmersville, CA 93223-0295 | 2007-09-06 |
| 1487962122 | Sierra Vista Residential Care Home, Inc. | Nursing Facility/Intermediate Care Facility | 506 W Petunia St, Farmersville, CA 93223-1002 | 2010-09-15 |
| 1003446618 | Shelina Mia Cruz | Licensed Vocational Nurse | 821 W Anissa Ct, Farmersville, CA 93223-1200 | 2020-01-22 |
| 1467622969 | Sarah Louise Wyckoff | Licensed Vocational Nurse | 757 W Anissa Ct, Farmersville, CA 93223-1202 | 2008-03-11 |
| 1386992238 | Turning Point Youth Services | Community/Behavioral Health | 477 E Ash St, Farmersville, CA 93223-1209 | 2012-08-27 |
| 1245531474 | Erika Jean Horner | Physician Assistant | 730 N Farmersville Blvd, Farmersville, CA 93223-1220 | 2010-11-04 |
| 1326317819 | Family Healthcare Network | Clinic/Center | 730 N Farmersville Blvd, Farmersville, CA 93223-1220 | 2011-12-29 |
| Find all providers in zip 93223 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487962122 | Sierra Vista Residential Care Home, Inc. | Nursing Facility/Intermediate Care Facility | 506 W Petunia St, Farmersville, CA 93223-1002 | 2010-09-15 |
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| 1265070064 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St Ste B1, Upland, CA 91786-4576 | 2019-12-12 |
| 1427692128 | Cg Estepa Care Home 2, Inc. | Nursing Facility/Intermediate Care Facility | 12800 Thornberg Way, Rancho Cordova, CA 95742-7812 | 2019-11-05 |
| 1669022547 | Continuum Living, LLC | Nursing Facility/Intermediate Care Facility | 24343 Pawnee Trl, Moreno Valley, CA 92557-5033 | 2019-09-12 |
| 1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
| 1063994408 | Sinai Congregate Living Facility | Nursing Facility/Intermediate Care Facility | 1759 Windermere Drive, Lancaster, CA 93534-5319 | 2018-09-01 |
| Find all providers with the same taxonomy | ||||
| City | FARMERSVILLE |
| Zip Code | 93223 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.