VALLEY CARE RESIDENTIAL (NPI# 1609902949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609902949 |
| Entity Type | Organization |
| Organization Name | VALLEY CARE RESIDENTIAL |
| Other Organization Name | MINARETS HOUSE |
| Practice Address |
1076 W Minarets Ave Fresno CA 93650-1062 |
| Mailing Address |
1903 E Fir Ave 101 Fresno CA 93720-3842 |
| Practice Telephone | 5594387743 |
| Practice Fax Number | 5594326981 |
| Mailing Telephone | 5593229305 |
| Mailing Fax Number | 5593229882 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANDREA RENGSTORF (RN TREASURER) |
| Authorized Official Telephone | 5593229305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LONG TERM CARE PROVIDER | LTC80109G | 01 |
| Other Name | Type Code |
|---|---|
| Minarets House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598972622 | Valley Care Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6384 N 10th St, Fresno, CA 93710-5728 | 2007-05-17 |
| 1194851915 | Valley Care Residential | Intermediate Care Facility, Mentally Retarded | 6537 N 7th St, Fresno, CA 93710-4339 | 2007-02-26 |
| 1871629139 | Valley Care Residential | Intermediate Care Facility, Mentally Retarded | 6426 N 4th St, Fresno, CA 93710-4107 | 2007-02-23 |
| 1447386792 | Valley Care Residential | Intermediate Care Facility, Mentally Retarded | 1435 E Swift Ave, Fresno, CA 93704-3931 | 2007-02-23 |
| 1073649307 | Valley Care Residential | Intermediate Care Facility, Mentally Retarded | 186 E Portland Ave, Fresno, CA 93720-2081 | 2007-02-23 |
| Street Address |
1076 W MINARETS AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93650-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371279 | Mariella Valladares | Counselor | 40 E Minarets, Pinedale, Ca, Pinedale, CA 93650 | 2017-12-04 |
| 1346627999 | Amelia Mendoza | Case Manager/Care Coordinator | 40 E Minarets Ave #1, Pinedale, CA 93650 | 2015-05-04 |
| 1053740001 | Darci Simms | Social Worker | 40 E Minarets, Pinedale, CA 93650 | 2013-11-09 |
| 1043567001 | Kyle Matthew Luis | Licensed Psychiatric Technician | 40 East Minarets, Pinedale, CA 93650 | 2012-08-09 |
| 1184761710 | James Molina | Rehabilitation Practitioner | 40 E. Minarets, Pinedale, CA 93650 | 2007-01-31 |
| 1265549588 | Robert Thomas Ensom II | Psychiatry & Neurology | 40 E. Minarets Ave, Pinedale, CA 93650 | 2006-08-23 |
| 1386158715 | Mayra Lopez | Counselor | 40 E Minarets Ave, Pinedale, CA 93650 | 2017-11-21 |
| 1417339029 | Michelle Schreiner | Licensed Vocational Nurse | 40 E Minarets Ave, Pinedale, CA 93650 | 2015-06-19 |
| 1881012896 | Dolores Cruz Sandoval | Licensed Vocational Nurse | 40 E. Minarets, Pinedale, CA 93650 | 2014-04-07 |
| 1053672774 | Andrea Lynne Templeton | Counselor | 40 E Minarets Ave, Pinedale, CA 93650 | 2012-05-30 |
| Find all providers in zip 93650 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417408691 | C&j Healthcare Services LLC | Intermediate Care Facility, Mentally Retarded | 3018 Hurst Green Ln, Fresno, TX 77545-1405 | 2016-10-21 |
| 1043614779 | Meridian Health Care Services, Inc. | Intermediate Care Facility, Mentally Retarded | 2236 N 1st St, Fresno, CA 93703-2303 | 2014-10-09 |
| 1942527023 | Harmony Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 5288 W Ramona, Fresno, CA 93722 | 2010-04-28 |
| 1679890750 | Harmony Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 1034 W. Mesa Ave., Fresno, CA 93711 | 2010-04-28 |
| 1669701223 | Meridian Health Care Services, Inc. | Intermediate Care Facility, Mentally Retarded | 5294 E Heaton Ave, Fresno, CA 93727-5927 | 2009-12-10 |
| 1912190703 | Pacific Care Homes 2 | Intermediate Care Facility, Mentally Retarded | 4458 N Charles Ave, Fresno, CA 93722-4109 | 2007-08-24 |
| 1184835712 | New Beginnings | Intermediate Care Facility, Mentally Retarded | 7053 N Carnegie Ave, Fresno, CA 93722-2817 | 2007-05-25 |
| 1821208752 | New Beginnings | Intermediate Care Facility, Mentally Retarded | 5704 N Wheeler Ave, Fresno, CA 93722-2541 | 2007-05-22 |
| 1366658726 | Loyd's Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 6062 N Knoll Ave, Fresno, CA 93711-6512 | 2007-05-15 |
| 1275749632 | Loyd's Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 5288 W Ramona Ave, Fresno, CA 93722-7132 | 2007-05-15 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on VALLEY CARE RESIDENTIAL.
| 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.