CITADEL M CHAVEZ (NPI# 1154806545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154806545 |
| Entity Type | Individual |
| Full Name | CITADEL M CHAVEZ |
| Credential | RN |
| Practice Address |
5100 N 6th St Ste 154 Fresno CA 93710-7515 |
| Practice Telephone | 5593558956 |
| Practice Fax Number | 5592277203 |
| Mailing Telephone | 5593558956 |
| Mailing Fax Number | 5592277203 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER'S LICENSE | D5256292 | 01 |
| Street Address |
5100 N 6TH ST STE 154 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-7515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714171 | Citadel & Ivan LLC | Home Health | 5100 N 6th St Ste 154, Fresno, CA 93710-7515 | 2020-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867031 | Carol Lynn Hampton | Home Health | 54403 Township Road 172, Fresno, OH 43824-9701 | 2020-09-28 |
| 1063022150 | Blossoming Care Home | Home Health | 4045 N Fresno St Ste 103, Fresno, CA 93726-4099 | 2020-08-04 |
| 1679196034 | Blossom Care Inc. | Home Health | 1500 W Shaw Ave Ste 302, Fresno, CA 93711-3501 | 2020-05-20 |
| 1932734498 | J&p Health LLC | Home Health | 6073 N Fresno St Ste 105, Fresno, CA 93710-8614 | 2020-03-05 |
| 1801430574 | Xencare, Inc. | Home Health | 6590 N Jackson Ave, Fresno, CA 93710-4615 | 2019-11-05 |
| 1518500644 | District Care Services LLC | Home Health | 1723 Lansing Cove Dr, Fresno, TX 77545-6017 | 2019-10-22 |
| 1750931937 | Athena Care Inc. | Home Health | 7636 N Ingram Ave Ste 107, Fresno, CA 93711-6200 | 2019-09-18 |
| 1467017061 | Dignity Home Health Care | Home Health | 1589 W Shaw Ave Ste 10, Fresno, CA 93711-3500 | 2019-05-08 |
| 1730664376 | Heal Home Health, Inc. | Home Health | 1041 E Shields Ave Ste B, Fresno, CA 93704-5051 | 2018-09-29 |
| 1376042598 | City 2 City LLC | Home Health | 3926 Elm Stream Ct, Fresno, TX 77545-7035 | 2018-02-02 |
| Find all providers in FRESNO | ||||
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| 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.