2ND HOME INCORPORATED NPI 1730716952

NPI Information

NPI: 1730716952
Provider Name: 2ND HOME INCORPORATED

Doing Business As: 2ND HOME, INC.-SAN JOSE FACILITY

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1797 SAN JOSE AVE
CLOVIS, CA
ZIP 93611
Phone: (559) 790-2271
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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 1730716952. The provider is registered as an organization entity type.
The provider Is Doing Business As 2nd Home, Inc.-san Jose Facility.

The provider's business location address is:

1797 SAN JOSE AVE
CLOVIS, CA
ZIP 93611-078
Phone: (559) 790-2271
Fax: (559) 321-8367

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 3/26/2020 and was last updated on 7/9/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				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: 5/5/2024

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