SYCAMORE GROVE HEALTHCARE LLC
NPI 1609504497
Hospice Care, Community Based in Delano, CA
- Organization
- Hospice Care, Community Based
- CLIA Number: 05D2132181
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 06-12-2027
About SYCAMORE GROVE HEALTHCARE LLC
This page provides the complete NPI Profile along with additional information for Sycamore Grove Healthcare Llc, a provider established in Delano, California operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1609504497 assigned on August 2022. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Amber Tueller (Secretary)
- NPI
- 1609504497 Verify this NPI
- Provider Name
- SYCAMORE GROVE HEALTHCARE LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 601 HIGH ST UNIT E DELANO, CA 93215
- Location Phone
- (661) 244-8126
- Mailing Address
- 601 HIGH ST UNIT E DELANO, CA 93215
- Mailing Phone
- (661) 244-8126
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-10-2022
- Last Update Date
- 05-05-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2132181
- Facility Type
- Hospice
- Certificate Effective Date
- June 13, 2025
- Certificate Expiration Date
- June 12, 2027
- Laboratory Director
- BRENT WILSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sycamore Grove Healthcare Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
DELANO, CA 93215
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609504497, enumerated as an "organization" on August 10, 2022.
The provider is located at 601 HIGH ST UNIT E DELANO, CA 93215 and the phone number is (661) 244-8126.
Hospice Care, Community Based with taxonomy code 251G00000X.
