Healthcare Provider Details

I. General information

NPI: 1558382598
Provider Name (Legal Business Name): SIERRA VIEW HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 02/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 E SPRINGFIELD AVE
REEDLEY CA
93654-3225
US

IV. Provider business mailing address

1155 E SPRINGFIELD AVE
REEDLEY CA
93654-3225
US

V. Phone/Fax

Practice location:
  • Phone: 559-638-9226
  • Fax: 559-638-6857
Mailing address:
  • Phone: 559-638-9226
  • Fax: 559-638-6857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number040000151
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number3140N1450X
License Number StateCA

VIII. Authorized Official

Name: MR. VITO JOSEPH GENNA
Title or Position: EXECUTIVE DIRECTOR
Credential: CNHA
Phone: 559-638-9226