Alleluia

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

ALLELUIA

Doing business as

Pearl Gates Home

Practice address

2256 Sterling Ave
Sanger, CA 93657-2033

Phone

(559) 638-6640

Fax

(559) 638-4311

NPI assigned

Dec 7, 2007

Last updated

Dec 7, 2007By 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

Mr. Dale W. Martinez

Title

Chief Executive Officer

Phone

(559) 634-6640

Specialties & licenses 1

Addresses

Other names 1

• Pearl Gates Home Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396928727. Details of each certification follow.

• CCN 05G860 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G860

Legal name

PEARL GATES HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

May 9, 1995

Last certification

Nov 7, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

2256 Sterling Avenue
Sanger, CA 93657

Tax ID family

Alleluia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Alleluia

  dba Hollywood Home

  • Intellectual Disabilities Intermediate Care Facility
  • Reedley, CA
  • NPI 1598948036
  NPD tax ID

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1396928727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E MANNING AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542385",
            "telephone_number": "559-638-6640",
            "fax_number": "559-638-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 STERLING AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572033",
            "telephone_number": "559-638-6640",
            "fax_number": "559-638-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLELUIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "559-634-6640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Gates Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 5TH Street 1808 LLC
• Manuel Acevedo, OPTICIAN
• Adventist Health Physicians Network
• Alma Aguirre
• Jacob Taiwo Akindele, ARDCS
• Alejandra Corinne Alvarado, PPS
• Glynis Alvarado, L.V.N.
• Daniel Nicholas Amaya
• Evelynn Andalon
• Andrea Anderson

• Intellectual Disabilities Intermediate Care Facility in Sanger, CA
• Providers in Sanger, 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 Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.