# SIERRA CARE AT THE LAKE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sierra Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235789462
- **Authorized official:** GARY ANDREW PONTICIELLO (PRESIDENT)
- **Authorized official phone:** (559) 539-2727

## Contact information

- **Practice address:** 33425 GLOBE DR, SPRINGVILLE, CA 93265
- **Practice address phone:** (559) 539-2727
- **Practice address fax:** (559) 553-8840
- **Mailing address:** 33425 GLOBE DR, SPRINGVILLE, CA 93265
- **Mailing address phone:** (559) 539-2727
- **Mailing address fax:** (559) 553-8840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |
| 315D00000X | Inpatient Hospice | — | — | — |

## Other

- **Enumeration date:** 09/19/2019
- **Last updated:** 09/19/2019