SIERRA CARE AT THE LAKE,LLC (NPI# 1235789462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235789462 |
| Entity Type | Organization |
| Organization Name | SIERRA CARE AT THE LAKE,LLC |
| Practice Address |
33425 Globe Dr Springville CA 93265 |
| Practice Telephone | 5595392727 |
| Practice Fax Number | 5595538840 |
| Mailing Telephone | 5595392727 |
| Mailing Fax Number | 5595538840 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | GARY ANDREW PONTICIELLO (PRESIDENT) |
| Authorized Official Telephone | 5595392727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities | ||
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sierra Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336799170 | Sierra Care At The Lake,llc | Custodial Care Facility | 648 W Sierra Ave, Clovis, CA 93612-0151 | 2019-09-13 |
| 1508265414 | Sierra Care At The Lake,llc | Nursing Facility/Intermediate Care Facility | 33221 Globe Dr, A, Springville, CA 93265-9715 | 2014-08-15 |
| Street Address |
33425 GLOBE DR |
| City | SPRINGVILLE |
| State | CA |
| Zip Code | 93265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366651739 | Neil A Rambo | Dentist | 35623 Hwy 190, Suite 102, Springville, CA 93265 | 2007-05-22 |
| 1386738177 | Family Healthcare Network | Clinic/Center | 35800 Highway 190, Springville, CA 93265-9116 | 2006-10-03 |
| 1073694378 | Narwhals Mating | Family Medicine | 35800 Highway 190, Springville, CA 93265-9116 | 2006-10-17 |
| 1306057534 | Caroline Grieser Rolens | Psychologist | 34830 Bogart Dr, Springville, CA 93265-9164 | 2007-05-28 |
| 1922282805 | Camp Nelson Ambulance Association Incorporated | Ambulance | 1500a Nelson Drive, Springville, CA 93265-9165 | 2007-12-27 |
| 1891940250 | In-home Sleep Diagnostics | In Home Supportive Care | 16595 Coyote Dr, Springville, CA 93265-9342 | 2008-11-25 |
| 1932437639 | Kurt Mauritz Wendelyn | General Practice | 54888 Chinquapin Dr, Springville, CA 93265-9557 | 2009-11-18 |
| 1508265414 | Sierra Care At The Lake,llc | Nursing Facility/Intermediate Care Facility | 33221 Globe Dr, A, Springville, CA 93265-9715 | 2014-08-15 |
| 1467809301 | Family Healthcare Network | Clinic/Center | 33463 Globe Dr, Springville, CA 93265-9719 | 2016-05-20 |
| 1588005359 | Angela Maria Grimmig | Psychologist | 38139 Balch Park Rd, Springville, CA 93265-9762 | 2013-07-09 |
| Find all providers in zip 93265 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063401750 | Kane County Human Resource Special Service District | Skilled Nursing Facility | 909 West 450 South, Springville, UT 84663 | 2005-10-17 |
| 1316361298 | Jssg Healthcare LLC. | Skilled Nursing Facility | 168 W Main St, Springville, NY 14141-1016 | 2014-02-12 |
| 1740344605 | Hart Associates of Springville, Inc. | Skilled Nursing Facility | 168 W Main St, Springville, NY 14141-1016 | 2006-12-21 |
| 1053303784 | Jennie B. Richmond Chaffee Nursing Home Company | Skilled Nursing Facility | 222 E Main St, Springville, NY 14141-1443 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 93265 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.