Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sierra Care at the Lake, LLC

Organization Custodial Care Facility · NPI 1336799170

Sierra Care at the Lake, LLC is a Custodial Care Facility in Clovis, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

648 W Sierra Ave
Clovis, CA 93612-0151
Phone: (559) 325-6100
Fax: (559) 553-8840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X
Custodial Care Facility Taxonomy 311Z00000X
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X
Inpatient Hospice Taxonomy 315D00000X

Record details

NPI number1336799170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Ponticiello — President · (559) 539-2727
Other names Sierra Care Clovis
NPI enumeratedSeptember 13, 2019
Last updated in NPPESSeptember 13, 2019
Mailing address648 W Sierra Ave, Clovis, CA 93612-0151