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SIERRA PINE GUEST HOME INC
NPI 1609505163
Assisted Living Facility in Riverside, CA

Active since June 08, 2022
5051 LA SIERRA AVE, RIVERSIDE, CA 92505(786) 564-3771 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About SIERRA PINE GUEST HOME INC

This page provides the complete NPI Profile along with additional information for Sierra Pine Guest Home Inc, a provider established in Riverside, California operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1609505163 assigned on June 2022. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ebraheem H Hamed (Administrator)

NPI
1609505163 Verify this NPI
Provider Name
SIERRA PINE GUEST HOME INC
Entity Type
Organization
Location Address
5051 LA SIERRA AVE RIVERSIDE, CA 92505
Location Phone
(786) 564-3771
Mailing Address
7159 HAZELWOOD WAY FONTANA, CA 92336
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2022
Last Update Date
06-08-2022
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EBRAHEEM H HAMED

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(786) 564-3771

Reviews for SIERRA PINE GUEST HOME INC

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Frequently Asked Questions

What is SIERRA PINE GUEST HOME INC's NPI number?

The NPI number assigned to this healthcare provider is 1609505163, enumerated as an "organization" on June 08, 2022.

Where is the provider located?

The provider is located at 5051 LA SIERRA AVE RIVERSIDE, CA 92505 and the phone number is (786) 564-3771.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.