HERITAGE CROSSING FRESNO INC. (NPI# 1851893291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851893291 |
| Entity Type | Organization |
| Organization Name | HERITAGE CROSSING FRESNO INC. |
| Practice Address |
2792 E Alluvial Ave Clovis CA 93611-9104 |
| Mailing Address |
7498 N Remington Ave Ste 101 Fresno CA 93711-5508 |
| Practice Telephone | 5592889989 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | MRS. MARI ZAKARYAN (PRESIDENT) |
| Authorized Official Telephone | 5592889989 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities | ||
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
2792 E ALLUVIAL AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-9104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| 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 |
|---|---|---|---|---|
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1225220387 | Clovis Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 1201 N Norris St, Clovis, NM 88101-6371 | 2007-08-13 |
| 1003909987 | Laurel Healthcare of Clovis LLC | Skilled Nursing Facility | 1201 North Norris Street, Clovis, NM 88101-6371 | 2006-10-02 |
| 1659482446 | Laurel Healthcare of Clovis LLC | Skilled Nursing Facility | 1400 West 21st Street, Clovis, NM 88101-4153 | 2006-08-31 |
| 1073569000 | Beverly Healthcare - California Inc | Skilled Nursing Facility | 111 Barstow Ave, Clovis, CA 93612-2225 | 2006-05-25 |
| 1003861089 | Willow Creek Healthcare Center, LLC | Skilled Nursing Facility | 650 W Alluvial Ave, Clovis, CA 93611-6716 | 2006-05-24 |
| 1528059011 | Retirement Ranches, Inc | Skilled Nursing Facility | 2221 Dillon Rd, Clovis, NM 88101-9454 | 2005-11-02 |
| 1184240715 | Jm Healthcare Inc | Skilled Nursing Facility | 650 W Alluvial Ave, Clovis, CA 93611-6716 | 2020-06-19 |
| 1174188270 | Willow Creek Post Acute, LLC | Skilled Nursing Facility | 650 W Alluvial Ave, Clovis, CA 93611-6716 | 2019-05-03 |
| 1508318700 | Dycora Transitional Health - Clovis LLC | Skilled Nursing Facility | 111 Barstow Ave, Clovis, CA 93612-2225 | 2016-11-04 |
| Find all providers in CLOVIS | ||||
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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.