SYCAMORE GROVE HEALTHCARE LLC
NPI 1053068627
Home Health in Fresno, CA

Active since March 03, 2022CLIA Certified · 2 labs
5479 N FRESNO ST STE 102, FRESNO, CA 93710(559) 408-5945 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2025, Dec 2, 2022, Mar 3, 2022 (3 updates tracked since 2022).

About Sycamore Grove Healthcare Llc NPPES

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

SYCAMORE GROVE HEALTHCARE LLC (NPI 1053068627), doing business as Ardent Home Health Of Fresno, is a healthcare organization registered as a home health in Fresno, California and active in the NPI registry since March 2022. The organization holds 2 active CLIA laboratory certificates and lists Amber Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1053068627
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSYCAMORE GROVE HEALTHCARE LLC
Location Address5479 N FRESNO ST STE 102Fresno, CA 93710-8328
Mailing Address5479 N Fresno St Ste 102Fresno, CA 93710-8328 · (559) 408-5945
Organization SubpartNo
Authorized OfficialAmber TuellerSecretary · (208) 207-2726
Enumeration DateMarch 3, 2022
Last NPPES UpdateOctober 29, 20253 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1053068627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
5479 N FRESNO ST STE 102, Fresno, CA 93710

Other Names 1

Doing Business AsArdent Home Health Of Fresno

CLIA Laboratory Certificates CMS CLIA 2

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 05D2131240

Sycamore Grove Healthcare LLC Dba Ardent Home Health Of Fresno · Fresno, CA
Active · expires May 23, 2027
CLIA Number05D2131240
Laboratory TypeHome Health Agency
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorBrent Wilson
Laboratory Phone(559) 408-5945
Laboratory LocationSycamore Grove Healthcare LLC Dba Ardent Home Health Of Fresno5479 N Fresno St Ste 102, Fresno, CA 93710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2078256

Sycamore Grove Healthcare LLC Dba Ardent Hospice Of Fresno · Fresno, CA
Active · expires May 22, 2028
CLIA Number05D2078256
Laboratory TypeHospice
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDr. Brent Wilson
Laboratory Phone(559) 408-5945
Laboratory LocationSycamore Grove Healthcare LLC Dba Ardent Hospice Of Fresno5477 N Fresno St Ste 104, Fresno, CA 93710
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
5479 N FRESNO ST STE 102
FRESNO, CA 93710
Dentist (Orthodontics and Dentofacial Orthopedics)
5479 N FRESNO ST STE 102
FRESNO, CA 93710

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 Sycamore Grove Healthcare LLC's NPI number?

The NPI number for Sycamore Grove Healthcare LLC is 1053068627. It was assigned to this organization in the NPPES registry on March 3, 2022. The provider is doing business as Ardent Home Health of Fresno.

Where is Sycamore Grove Healthcare LLC located?

Sycamore Grove Healthcare LLC is located at 5479 N Fresno St Ste 102, Fresno, CA 93710. The listed phone number is (559) 408-5945.

What is Sycamore Grove Healthcare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Sycamore Grove Healthcare LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sycamore Grove Healthcare LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.