Pacific Care Homes 2 in Fresno - Intermediate Care Facility, Intellectual Disabilities
Pacific Care Homes 2 - NPI 1912190703
Pacific Care Homes 2 is a Intermediate Care Facility, Intellectual Disabilities in Fresno, California. Pacific Care Homes 2 practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Pacific Care Homes 2 is 1912190703. The last update date is 2007-08-24.
Pacific Care Homes 2's current location address is 4222 W Alamos Ave Ste 104, Fresno, California. You can contact this provider via phone number 5592713431 and fax number 5592712086. The mailing address for Pacific Care Homes 2 is 4222 W Alamos Ave Ste 104, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Care Homes 2 |
|---|---|
| Address | 4222 W Alamos Ave Ste 104, Fresno, California |
| Phone Number | 5592713431 |
| Fax Number | 5592712086 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Davis W. Jerry |
| Telephone Number | 5592713431 |
NPI Number Detail
| NPI Number | 1912190703 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2007-08-24 |
Provider Mailing Address Detail
| Address | 4222 W Alamos Ave Ste 104 |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937223900 |
| Phone Number | 5592713431 |
| Fax Number | 5592712086 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pacific Care Homes 2 by the Centers for Medicare & Medicaid Services?
The Pacific Care Homes 2 has been issued the NPI (National Provider Identifier) 1912190703 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Pacific Care Homes 2 is geographically located?
The Pacific Care Homes 2 is physically situated at the following location: 4222 W Alamos Ave Ste 104, Fresno, CA, 937223900.
What is the Pacific Care Homes 2's specialty and taxonomy code?
The Pacific Care Homes 2's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
On what date did the Pacific Care Homes 2 receive its 1912190703 assignment from the Centers for Medicare & Medicaid Services?
The Pacific Care Homes 2 was assigned its 1912190703 by the Centers for Medicare & Medicaid Services on 2007-08-24.
As of what date were the Pacific Care Homes 2's details last updated?
The information pertaining to the Pacific Care Homes 2, including its address, specialty, and other details, was most recently updated on 2007-08-24.