Organization Active NPI

Sycamore Grove Healthcare LLC

Doing business as Ardent Home Health of Fresno

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1053068627
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SYCAMORE GROVE HEALTHCARE LLC
Doing business as
Ardent Home Health of Fresno
Practice address
5479 N Fresno St Ste 102
Fresno, CA 93710-8328
Phone
(559) 408-5945
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5479 N Fresno St Ste 102
Fresno, CA 93710-8328

Mailing address

5479 N Fresno St Ste 102
Fresno, CA 93710-8328
Phone (559) 408-5945

Other names 1

  • Ardent Home Health of Fresno Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2131240Sycamore Grove Healthcare LLC5479 N Fresno St Ste 102, Fresno, CA 93710Certificate of waiverMay 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ardent Home Health of Fresno3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1053068627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 N FRESNO ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108328",
            "telephone_number": "559-408-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 N FRESNO ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108328",
            "telephone_number": "559-408-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE GROVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardent Home Health of Fresno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.