Sierra Salem Christian Homes, Inc,

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

SIERRA SALEM CHRISTIAN HOMES, INC,

Practice address

2414 Kirkwood Ave
Modesto, CA 95350-2282

Phone

(209) 408-8289

Fax

(209) 343-3952

NPI assigned

Jun 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jerald P Pasma

Title

Executive Director

Phone

(209) 404-4749

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1225488703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 KIRKWOOD AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502282",
            "telephone_number": "209-408-8289",
            "fax_number": "209-343-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 KIRKWOOD AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502282",
            "telephone_number": "209-408-8289",
            "fax_number": "209-343-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA SALEM CHRISTIAN HOMES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "PASMA",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-404-4749",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidtia Sidtikun, NP
• Brenda Marie Siegfried, CMT
• Hilda Marie Sielicki, R.N., N.P.
• Allie Grace Sierdsma
• Antonia Sierra Martinez
• Sierra Valley Health Center Inc
• Sierra Vista Child & Family Services
• Sierra Vista Child & Family Services
• Sierra Vista Child & Family Services
• Sierra Vista Child & Family Services

• Intellectual Disabilities Intermediate Care Facility in Modesto, CA
• Providers in Modesto, 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 Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.