Sierra Meadows Senior Care, Inc.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

SIERRA MEADOWS SENIOR CARE, INC.

Practice address

5425 W Spruce Ave
Fresno, CA 93722-2362

Phone

(559) 840-9347

Fax

(559) 554-9606

NPI assigned

May 11, 2022

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Helena Hurley

Title

Administrator

Phone

(559) 840-0452

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1306582309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W SPRUCE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222362",
            "telephone_number": "559-840-9347",
            "fax_number": "559-554-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRUCE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222362",
            "telephone_number": "559-840-9347",
            "fax_number": "559-554-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MEADOWS SENIOR CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "HELENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-840-0452",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "107209048",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORY CARE",
            "identifier": "107209048",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Industrial Medical Clinic, Inc
• Sierra Meadows and Ascend Psychiatric Group Inc.
• Sierra Meadows Behavioral Health
• Sierra Meadows Behavioral Health
• Sierra Meadows Behavioral Health
• Sierra Medicine, Inc.
• Sierra Pacific Neurosurgical Associates, a Professional Medical Corp
• Sierra Pacific Orthopaedic Center
• Sierra Pacific Orthopaedic Center Medical Group Inc
• Sierra Pacific Orthopaedic Center Medical Group, Inc.

• Assisted Living Facility (Behavioral Disturbances) in Fresno, CA
• Providers in Fresno, CA by specialty
• Assisted Living Facility (Behavioral Disturbances) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.