TWILIGHT HOMES, INC. (NPI# 1366828766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366828766 |
| Entity Type | Organization |
| Organization Name | TWILIGHT HOMES, INC. |
| Other Organization Name | GREEN VILLA RCFE/SUNNY GARDEN RCFE |
| Practice Address |
1463 W Sierra Ave Fresno CA 93711-1906 |
| Mailing Address |
5539 N Brent Ave Fresno CA 93723-7658 |
| Practice Telephone | 5594395760 |
| Practice Fax Number | 5592753046 |
| Mailing Telephone | 5592762696 |
| Mailing Fax Number | 5592753046 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | MRS. MARY JANE SUNGA ANDRES (PRESIDENT/LICENSEE) |
| Authorized Official Telephone | 5599163658 |
| Authorized Official Credential | C.L.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 107206561 | CA | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 107206562 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Green Villa RCFE/Sunny Garden RCFE | Doing Business As Name - Organization |
| Street Address |
1463 W SIERRA AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740816230 | Five Star Assisted Living Corp | Assisted Living Facility | 2573 W Barstow Ave, Fresno, CA 93711-2567 | 2020-03-17 |
| 1770131914 | Noble Servant Homes Inc. | Assisted Living Facility | 4140 W Capitola Ave, Fresno, CA 93722-6141 | 2019-08-30 |
| 1871078295 | Copper River Retirement Group, LLC | Assisted Living Facility | 1115 E Pinehurst Ave, Fresno, CA 93730-5931 | 2018-10-02 |
| 1396229548 | Victorias Care Home | Assisted Living Facility | 5161 W Palo Alto Ave, Fresno, CA 93722-3607 | 2018-09-23 |
| 1417437047 | Hergie & Associates | Assisted Living Facility | 1760 E Chennault Ave, Fresno, CA 93720-3812 | 2018-08-14 |
| 1821589201 | Bk House of Grace and Joy, Inc. | Assisted Living Facility | 1463 N Archie Ave, Fresno, CA 93703-4308 | 2018-05-22 |
| 1720587165 | Family Is Why LLC | Assisted Living Facility | 2495 S Rabe Ave, Fresno, CA 93727-8710 | 2018-02-11 |
| 1700301603 | Rose Meadow Assisted Living, Inc. | Assisted Living Facility | 5627 N Bond St, Fresno, CA 93710-6315 | 2017-08-11 |
| 1497291751 | Blossom Creeks Assisted Living | Assisted Living Facility | 501 S Apricot Ave, Fresno, CA 93727-6596 | 2017-01-11 |
| 1477939890 | Amg Residential Care Homes, Inc | Assisted Living Facility | 8647 N Richelle Ave, Fresno, CA 93720-5316 | 2015-08-07 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on TWILIGHT HOMES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.