Healthcare Provider Details

I. General information

NPI: 1922938166
Provider Name (Legal Business Name): SIPNK ADMIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 KIERNAN AVE
SALIDA CA
95368-9130
US

IV. Provider business mailing address

5400 KIERNAN AVE
SALIDA CA
95368-9130
US

V. Phone/Fax

Practice location:
  • Phone: 209-543-9275
  • Fax: 209-248-8359
Mailing address:
  • Phone: 209-543-9275
  • Fax: 209-248-8359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: LORRAINE PADILLA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 209-585-9783