PACIFIC CARE HOMES 2 (NPI# 1912190703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912190703 |
| Entity Type | Organization |
| Organization Name | PACIFIC CARE HOMES 2 |
| Practice Address |
4458 N Charles Ave Fresno CA 93722-4109 |
| Mailing Address |
4222 W Alamos Ave Ste 104 Fresno CA 93722-3900 |
| Practice Telephone | 5592711921 |
| Practice Fax Number | 5592712086 |
| Mailing Telephone | 5592713431 |
| Mailing Fax Number | 5592712086 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Authorized Official Name | MR. JERRY W. DAVIS (OWNER) |
| Authorized Official Telephone | 5592713431 |
| 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 |
| Street Address |
4458 N CHARLES AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| 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 |
| 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 |
| 1811103278 | Loyds Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 5493 N Feland Ave, Fresno, CA 93711-2128 | 2007-05-15 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on PACIFIC CARE HOMES 2.
| 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.