Shepherd Family Home in Fresno - Intermediate Care Facility, Mental Illness
Shepherd Family Home - NPI 1770679417
Shepherd Family Home is a Intermediate Care Facility, Mental Illness in Fresno, California. Shepherd Family Home practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Shepherd Family Home is 1770679417. The last update date is 2020-08-22.
Shepherd Family Home's current location address is 8893 N Sierra Vista Ave, Fresno, California. You can contact this provider via phone number 5592987998 and fax number 5592981551. The mailing address for Shepherd Family Home is 8893 N Sierra Vista Ave, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shepherd Family Home |
|---|---|
| Address | 8893 N Sierra Vista Ave, Fresno, California |
| Phone Number | 5592987998 |
| Fax Number | 5592981551 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shepherd W Lee |
| Telephone Number | 5592987998 |
NPI Number Detail
| NPI Number | 1770679417 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8893 N Sierra Vista Ave |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937203948 |
| Phone Number | 5592987998 |
| Fax Number | 5592981551 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
|
Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC80272G | CA | MEDICAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shepherd Family Home?
The Shepherd Family Home has been issued the NPI (National Provider Identifier) 1770679417 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Shepherd Family Home is physically located?
The Shepherd Family Home is situated at the following address: 8893 N Sierra Vista Ave, Fresno, CA 937203948.
What is Shepherd Family Home's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shepherd Family Home's specialized field of practice is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 310500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770679417 to Shepherd Family Home?
The Centers for Medicare & Medicaid Services originally issued the 1770679417 to Shepherd Family Home on 2006-10-04.
As of what date was the information pertaining to Shepherd Family Home, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shepherd Family Home, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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