Provider Demographics
NPI:1558382598
Name:SIERRA VIEW HOMES
Entity Type:Organization
Organization Name:SIERRA VIEW HOMES
Other - Org Name:SIERRA VIEW HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VITO
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GENNA
Authorized Official - Suffix:
Authorized Official - Credentials:CNHA
Authorized Official - Phone:559-638-9226
Mailing Address - Street 1:1155 E SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-3225
Mailing Address - Country:US
Mailing Address - Phone:559-638-9226
Mailing Address - Fax:559-638-6857
Practice Address - Street 1:1155 E SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-3225
Practice Address - Country:US
Practice Address - Phone:559-638-9226
Practice Address - Fax:559-638-6857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA040000151314000000X
CA3140N1450X3140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-6279Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER