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PACIFIC CARE HOMES NPI 1114021763


NPI Information

NPI: 1114021763
Provider Name: PACIFIC CARE HOMES
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
3107 W GETTYSBURG AVE
FRESNO, CA
ZIP 93722
Phone: (559) 271-3431
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PACIFIC CARE HOMES is an adult care home custodial care facility in Fresno, CA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. PACIFIC CARE HOMES NPI is 1114021763. The provider is registered as an organization entity type.

The provider's business location address is:

3107 W GETTYSBURG AVE
FRESNO, CA
ZIP 93722
Phone: (559) 271-3431
Fax: (559) 271-2086

The provider's authorized official is Jerry W Davis .
The authorized official title is OWNER CEOCeo and has the following contact phone number (559) 271-3431.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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