Organization Active NPI

Sierra Madre Healthcare LLC

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1124820899
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIERRA MADRE HEALTHCARE LLC
Practice address
3452 E Foothill Blvd Ste 130B
Pasadena, CA 91107-3142
Phone
(626) 481-6943
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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

3452 E Foothill Blvd Ste 130B
Pasadena, CA 91107-3142

Mailing address

3452 E Foothill Blvd Ste 130B
Pasadena, CA 91107-3142
Phone (626) 481-6943

Other names 1

  • GrandCare Home Health East 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
05D2339785Sierra Madre Healthcare LLC3452 E Foothill Blvd, Ste 130B, Pasadena, CA 91107Certificate of waiverMar 5, 2028

National Provider Directory

National Provider Directory

Locations

3452 E Foothill Blvd
Ste 130B
Pasadena, CA 91107
Phone (626) 481-6943

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1124820899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 E FOOTHILL BLVD STE 130B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073142",
            "telephone_number": "626-481-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 E FOOTHILL BLVD STE 130B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073142",
            "telephone_number": "626-481-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MADRE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "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": "GrandCare Home Health East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.