IMC CARE HOME INC NPI 1386043065

NPI Information

NPI: 1386043065
Provider Name: IMC CARE HOME, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2103 E RYAN AVE
FRESNO, CA
ZIP 93720
Phone: (559) 434-7371
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IMC CARE HOME, INC is an assisted living facility in Fresno, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. IMC CARE HOME, INC NPI is 1386043065. The provider is registered as an organization entity type.

The provider's business location address is:

2103 E RYAN AVE
FRESNO, CA
ZIP 93720-147
Phone: (559) 434-7371
Fax: (559) 515-6513

The provider's authorized official is Irina Chernyakova .
The authorized official title is Ceo/president and has the following contact phone number (559) 434-7371.

The enumeration date for this NPI number is 8/18/2014 and was last updated on 8/18/2014.

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
1	310400000X	Assisted Living Facility		107206761	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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