1194851915 NPI number — VALLEY CARE RESIDENTIAL

Table of content: (NPI 1194851915)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194851915 NPI number — VALLEY CARE RESIDENTIAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALLEY CARE RESIDENTIAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194851915
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1903 E FIR AVE
Provider Second Line Business Mailing Address:
101
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93720-3842
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-322-9305
Provider Business Mailing Address Fax Number:
559-322-9882

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6537 N 7TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93710-4339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-432-7052
Provider Business Practice Location Address Fax Number:
559-432-7062
Provider Enumeration Date:
02/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RENGSTORF
Authorized Official First Name:
ANDREA
Authorized Official Middle Name:
Authorized Official Title or Position:
RN TREASURER
Authorized Official Telephone Number:
559-322-9305

Provider Taxonomy Codes

  • Taxonomy code: 315P00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: LTC80314G . This is a "LONG TERM CARE PROVIDER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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