NPI Information

  • NPI: 1144950080
  • Provider Name: 2ND HOME INCORPORATED
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Doing Business As: 2ND HOME INC.-SAMPLE FACILITY
  • Address: 2361 SAMPLE AVE
    CLOVIS, CA
    ZIP 93611
  • Phone: (559) 323-4502

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NPI Details

2ND HOME INCORPORATED is a community based residential treatment facility mental illness in Clovis, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. 2ND HOME INCORPORATED NPI is 1144950080. The provider is registered as an organization entity type.
The provider Is Doing Business As 2nd Home Inc.-sample Facility.

The provider's business location address is:

2361 SAMPLE AVE
CLOVIS, CA
ZIP 93611-425
Phone: (559) 323-4502

The provider's authorized official is Jennifer Fish .
The authorized official title is Director and has the following contact phone number (559) 790-2271.

The enumeration date for this NPI number is 6/14/2022 and was last updated on 6/29/2022.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 11/21/2025

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