MODESTO GOSPEL MISSION NPI 1720796907

NPI Information

  • NPI: 1720796907
  • Provider Name: MODESTO GOSPEL MISSION
  • Classification: Lodging - 177F00000X
  • Entity Type: Organization
  • Address: 1400 YOSEMITE BLVD
    MODESTO, CA
    ZIP 95354
  • Phone: (209) 529-8259

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NPI Details

MODESTO GOSPEL MISSION is a lodging in Modesto, CA. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. MODESTO GOSPEL MISSION NPI is 1720796907. The provider is registered as an organization entity type.

The provider's business location address is:

1400 YOSEMITE BLVD
MODESTO, CA
ZIP 95354-840
Phone: (209) 529-8259

The provider's authorized official is Jason Allen Conway .
The authorized official title is Ceo and has the following contact phone number (209) 225-2905.

The enumeration date for this NPI number is 11/7/2022 and was last updated on 7/29/2025.

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
1251B00000XCase ManagementNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4282J00000XReligious Nonmedical Health Care InstitutionNo
5385H00000XRespite CareNo
6177F00000XLodgingYes

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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