BELONGING, LOVE, AFFINITY, COMMUNITY, KINSHIP WELLNESS & PROSPERITY CE (NPI# 1619591179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619591179 |
| Entity Type | Organization |
| Organization Name | BELONGING, LOVE, AFFINITY, COMMUNITY, KINSHIP WELLNESS & PROSPERITY CE |
| Practice Address |
1133 S St Fresno CA 93721-1408 |
| Practice Telephone | 5594785912 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | SHANTAY RENEE DAVIES-BALCH (PRESIDENT & CEO) |
| Authorized Official Telephone | 5597901905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BLACK Wellness & Prosperity Center | Doing Business As Name - Organization |
| Street Address |
1133 S ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585629 | Rapid Compliance Services, Inc | Clinic/Center | 4339 N Golden State Blvd Ste 101, Fresno, CA 93722-3816 | 2020-07-07 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1184164873 | Todos Para La Salud | Clinic/Center | 4420 N First St #123, Fresno, CA 93726-2328 | 2017-03-01 |
| 1184049793 | Greater Fresno Health Organization | Clinic/Center | 4011 N Marks Ave, Fresno, CA 93722-4555 | 2014-02-19 |
| 1184048886 | Lalaine Tiu, Md Inc | Clinic/Center | 3069 Tulare St, Fresno, CA 93721-1434 | 2014-02-17 |
| 1225316573 | Amarpaul Singh Bhathal | Clinic/Center | 11338 N Blue Sage Ave, Fresno, CA 93730-8846 | 2011-08-03 |
| 1609190768 | Generational Changes, Inc. | Clinic/Center | 2409 Merced St, Fresno, CA 93721-1810 | 2010-03-18 |
| 1649505504 | Generational Changes, Inc. | Clinic/Center | 1313 P St Ste 200, Fresno, CA 93721-1827 | 2009-10-11 |
| 1437325685 | Dipti Kundaikar | Clinic/Center | 7300 North Fresno Street, Medical Staff Services, Sequoia 4, Fresno, CA 93270-2941 | 2008-05-07 |
| 1982806246 | D Kevin Lester Md Inc | Clinic/Center | 6085 N 1st St Ste 101, Fresno, CA 93710-5465 | 2007-05-31 |
| 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.