ABIES RACHAEL EGHAREVBA NPI 1144105099

NPI Information

  • NPI: 1144105099
  • Provider Name: ABIES RACHAEL EGHAREVBA
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 1707 ACORN GLEN TRL
    FRESNO, TX
    ZIP 77545
  • Phone: (832) 805-6419

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NPI Details

Abies Rachael Egharevba is a community based residential treatment facility, intellectual and/or developmental disabilities in Fresno, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Abies Rachael Egharevba NPI is 1144105099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1707 ACORN GLEN TRL
FRESNO, TX
ZIP 77545-144
Phone: (832) 805-6419

The enumeration date for this NPI number is 8/9/2025 and was last updated on 8/9/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 3/30/2025

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