Sierra Vista Residential Care Home,Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

SIERRA VISTA RESIDENTIAL CARE HOME,INC

Practice address

782 N Shasta Ave
Farmersville, CA 93223-1148

Phone

(559) 747-0399

Fax

(559) 747-0604

NPI assigned

Aug 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Megan L Kempf

Title

Vice President

Phone

(559) 747-0399

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G188

Legal name

SIERRA VISTA RESIDENTAL CARE HOME #3

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Apr 13, 1998

Last certification

Oct 22, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

1412 North Maple
Visalia, CA 93292

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G365

Legal name

SIERRA VISTA RESIDENTIAL CARE

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Feb 1, 2001

Last certification

May 7, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

782 North Shasta Ave
Farmersville, CA 93223

Tax ID family

Sierra Vista Residential Care Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sierra Vista Residential Care Home, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Farmersville, CA
  • NPI 1487962122
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1023200151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 N SHASTA AVE",
            "city": "FARMERSVILLE",
            "state": "CA",
            "postal_code": "932231148",
            "telephone_number": "559-747-0399",
            "fax_number": "559-747-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 N SHASTA AVE",
            "city": "FARMERSVILLE",
            "state": "CA",
            "postal_code": "932231148",
            "telephone_number": "559-747-0399",
            "fax_number": "559-747-0604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932928025",
            "country_code": "US",
            "telephone_number": "559-635-7561",
            "fax_number": "559-635-8019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIERRA VISTA RESIDENTIAL CARE HOME,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "KEMPF",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "559-747-0399"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55G188",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55G365",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Joaquin Prime Care Medical Group Inc
• Beatriz Sanchez, PPS
• Sierra Vista Pharmacy, Inc.
• Sierra Vista Pharmacy, Inc.
• Sierra Vista Residential Care Home, Inc.
• James Erwin Stewart, DDS
• Virginia Grace Lew Tan
• Ryan Tanney
• Jan Louise Taylor, N.P.
• Thrifty Payless Inc

• Intellectual Disabilities Intermediate Care Facility in Farmersville, CA
• Providers in Farmersville, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.