DYCORA TRANSITIONAL HEALTH - MEMORY CARE OF FRESNO LLC (NPI# 1295278059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295278059 |
| Entity Type | Organization |
| Organization Name | DYCORA TRANSITIONAL HEALTH - MEMORY CARE OF FRESNO LLC |
| Practice Address |
925 N Cornelia Ave Fresno CA 93706-1031 |
| Practice Telephone | 5592754785 |
| Mailing Telephone | 5592754785 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | MARY HAWKINS (EXECUTIVE) |
| Authorized Official Telephone | 5592754785 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| Street Address |
925 N CORNELIA AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801842877 | Beverly Healthcare - California Inc | Skilled Nursing Facility | 925 N Cornelia Ave, Fresno, CA 93706-1031 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308850 | Acme Care, Inc | Skilled Nursing Facility | 6253 N Colonial Ave, Fresno, CA 93704-1437 | 2019-10-18 |
| 1245779305 | Senior Med Care Living Inc | Skilled Nursing Facility | 2275 N Saratoga Ave, Fresno, CA 93722-4696 | 2017-02-21 |
| 1952766693 | Fresno Postacute Care LLC | Skilled Nursing Facility | 1233 A St., Fresno, CA 93706-3202 | 2015-12-23 |
| 1548625718 | Northern California Congregate Living, Inc | Skilled Nursing Facility | 5321 W Roberts Ave, Fresno, CA 93722-7737 | 2015-12-15 |
| 1306213517 | Babujyan Healthcare, Inc. | Skilled Nursing Facility | 1419 W Bullard Ave, Fresno, CA 93711-2324 | 2015-08-24 |
| 1346623378 | Mehdi Hakimipour Md, Inc. | Skilled Nursing Facility | 315 E Nees Ave, #124, Fresno, CA 93720-2062 | 2015-07-08 |
| 1720499908 | Affinity Congregate Living, Inc | Skilled Nursing Facility | 3150 E Shields Ave, Fresno, CA 93726-6901 | 2014-05-10 |
| 1134480817 | Humangood Fresno | Skilled Nursing Facility | 5551 N Fresno St, Fresno, CA 93710 | 2012-05-30 |
| 1528100013 | Covenant Care California, LLC | Skilled Nursing Facility | 577 South Peach Avenue, Fresno, CA 93727-3952 | 2007-02-13 |
| 1336287077 | Manning Gardens Care Center Inc | Skilled Nursing Facility | 2113 E Manning Ave, Fresno, CA 93725-9681 | 2007-02-02 |
| 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.