INNOVATIVE DEVELOPMENT & LIVING SOLUTIONS OF CALIFORNIA (NPI# 1134620651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134620651 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE DEVELOPMENT & LIVING SOLUTIONS OF CALIFORNIA |
| Other Organization Name | MAGNOLIA CROSSING |
| Practice Address |
32 West Sierra Ave Clovis CA 93612 |
| Practice Telephone | 5598251735 |
| Practice Fax Number | 5597974464 |
| Mailing Telephone | 5598251735 |
| Mailing Fax Number | 5597974464 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | MR. MICHAEL SIGALA (BOARD PRESIDENT) |
| Authorized Official Telephone | 5592666222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 107208838 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Magnolia Crossing | Doing Business As Name - Organization |
| Street Address |
32 WEST SIERRA AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| 1245556380 | Comprehensive Sleep Diagnostics | Clinic/Center | 255 W Herndon Ave, Suite 102, Clovis, CA 93612 | 2010-04-14 |
| Find all providers in zip 93612 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999702 | Apricot Mornings Inc | Assisted Living Facility | 783 Quincy Ave, Clovis, CA 93619-7668 | 2020-07-15 |
| 1619590734 | Unlimited Caring Group, Inc. | Assisted Living Facility | 2540 Paul Ave, Clovis, CA 93611-5329 | 2020-05-22 |
| 1124655956 | Evergreen Care Homes Inc | Assisted Living Facility | 825 W Ashlan Ave Ste 102, Clovis, CA 93612-4735 | 2020-03-23 |
| 1326595117 | Vanik & Arsen LLC | Assisted Living Facility | 250 Villa Ave, Clovis, CA 93612-0854 | 2016-09-08 |
| 1154683654 | Wheatfields Senior Living Community | Assisted Living Facility | 4701 N Prince Street, Clovis, NM 88101 | 2012-06-11 |
| 1194032318 | Anjaleoni Enterprises Inc | Assisted Living Facility | 3086 Armstrong Ave, Clovis, CA 93611-5201 | 2010-09-09 |
| 1508173956 | Rosemary Homes | Assisted Living Facility | 1828 Santa Ana Ave, Clovis, CA 93611-4125 | 2010-09-07 |
| 1992028740 | Therapeutic Residential Services, Inc | Assisted Living Facility | 175 W Sierra Ave, Clovis, CA 93612-0283 | 2010-03-08 |
| 1033442272 | Senior Community Services | Assisted Living Facility | 200 Murray Dr, Clovis, NM 88101-4349 | 2009-09-04 |
| 1508020975 | Senior Citizen Resident Center | Assisted Living Facility | 2210 Marby Drive, Clovis, NM 88101-8306 | 2008-07-15 |
| Find all providers in CLOVIS | ||||
Please comment or provide details below to improve the information on INNOVATIVE DEVELOPMENT & LIVING SOLUTIONS OF CALIFORNIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.