Active NPI
Sierra Madre Healthcare LLC
- Home Health Agency
- Pasadena, CA
National Provider Identifier
1124820899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2339785 | Sierra Madre Healthcare LLC | Certificate of waiver | Mar 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.