Sierra Vista Residential Care Home, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

SIERRA VISTA RESIDENTIAL CARE HOME, INC.

Practice address

506 W Petunia St
Farmersville, CA 93223-1002

Phone

(559) 747-0399

Fax

(559) 747-0604

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Megan L Kempf

Title

Vice President

Phone

(559) 747-0399

Specialties & licenses 1

Addresses

Other names 1

• Sierra Vista Residential Care Home, Inc. #2 Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G669

Legal name

SIERRA VISTA RESIDENTIAL CARE HOME #2

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Nov 21, 2011

Last certification

May 7, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

506 West Petunia Street
Farmersville, CA 93223

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Sierra Vista Residential Care Home Inc2 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.

• Sierra Vista Residential Care Home,Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Farmersville, CA
  • NPI 1023200151
  NPD tax ID

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1487962122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 N SHASTA AVE",
            "city": "FARMERSVILLE",
            "state": "CA",
            "postal_code": "932231148",
            "telephone_number": "559-747-0399",
            "fax_number": "559-747-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W PETUNIA ST",
            "city": "FARMERSVILLE",
            "state": "CA",
            "postal_code": "932231002",
            "telephone_number": "559-747-0399",
            "fax_number": "559-747-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA RESIDENTIAL CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "KEMPF",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "559-747-0399"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Vista Residential Care Home, Inc. #2",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sierra Vista Residential Care Home, Inc. #2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Feby Salem
• San Joaquin Prime Care Medical Group Inc
• Beatriz Sanchez, PPS
• Sierra Vista Pharmacy, Inc.
• Sierra Vista Pharmacy, Inc.
• Sierra Vista Residential Care Home,Inc
• James Erwin Stewart, DDS
• Virginia Grace Lew Tan
• Ryan Tanney
• Jan Louise Taylor, N.P.

• Intellectual Disabilities Intermediate Care Facility in Farmersville, CA
• Providers in Farmersville, 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 Nov 28, 2023; 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.
• 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.