SIERRA VISTA RESIDENTIAL CARE HOME,INC - NPI 1023200151 - Intermediate Care Facility, Intellectual Disabilities in Farmersville, CA

Q: What is Sierra Vista Residential Care Home,inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

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About Sierra Vista Residential Care Home,inc NPPES

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

SIERRA VISTA RESIDENTIAL CARE HOME,INC (NPI 1023200151) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Farmersville, California and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through September 13, 2027, maintains a secondary practice location in Visalia, and lists Megan L Kempf, Vice President, as its authorized official.

NPPES Registry Identity

NPI1023200151

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameSIERRA VISTA RESIDENTIAL CARE HOME,INC

Location Address782 N SHASTA AVEFarmersville, CA 93223-1148

Mailing Address782 N Shasta AveFarmersville, CA 93223-1148 · (559) 747-0399 · Fax (559) 747-0604

Phone(559) 747-0399

Fax(559) 747-0604

Organization SubpartNo

Authorized OfficialMegan L KempfVice President · (559) 747-0399

Enumeration DateAugust 13, 2007

Last NPPES UpdateNovember 28, 2023

NPPES CertifiedNovember 28, 2023

✔ NPI 1023200151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

782 N SHASTA AVE, Farmersville, CA 93223

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Secondary Practice Location 1

Location 11412 N Maple StVisalia, CA 93292-8025 · Phone (559) 635-7561 · Fax (559) 635-8019

Other Identifiers 2

Medicaid55G188CA

Medicaid55G365CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2029764

Sierra Vista Residential Care Home # 2 · Farmersville, CA

Active · expires Sep 13, 2027

CLIA Number05D2029764

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateSeptember 14, 2025

Certificate Expiration DateSeptember 13, 2027

Laboratory DirectorRaynado F. Garcia

Laboratory Phone(559) 747-3169

Laboratory LocationSierra Vista Residential Care Home # 2506 W. Petunia St., Farmersville, CA 93223

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Vista Residential Care Home,inc's NPI number?

The NPI number for Sierra Vista Residential Care Home,inc is 1023200151. It was assigned to this organization in the NPPES registry on August 13, 2007.

Where is Sierra Vista Residential Care Home,inc located?

Sierra Vista Residential Care Home,inc is located at 782 N Shasta Ave, Farmersville, CA 93223. The listed phone number is (559) 747-0399.

What is Sierra Vista Residential Care Home,inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Sierra Vista Residential Care Home,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2029764) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sierra Vista Residential Care Home,inc was last updated on November 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.