SIERRA CARE AT THE LAKE,LLC
NPI 1336799170
Skilled Nursing Facility in Clovis, CA
About Sierra Care At The Lake,llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIERRA CARE AT THE LAKE,LLC (NPI 1336799170), doing business as Sierra Care Clovis, is a healthcare organization registered as a skilled nursing facility in Clovis, California and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Gary Andrew Ponticiello, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
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 05D2177089
Sierra Care At The Lake LLC Dba Sierra Care Clovis · Clovis, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Care At The Lake,llc's NPI number?
The NPI number for Sierra Care At The Lake,llc is 1336799170. It was assigned to this organization in the NPPES registry on September 13, 2019. The provider is doing business as Sierra Care Clovis.
Where is Sierra Care At The Lake,llc located?
Sierra Care At The Lake,llc is located at 648 W Sierra Ave, Clovis, CA 93612. The listed phone number is (559) 325-6100.
What is Sierra Care At The Lake,llc's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Sierra Care At The Lake,llc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2177089) is associated with this NPI, valid through January 2, 2028. 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 Care At The Lake,llc was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.