HASKINS RESIDENTIAL CARE (NPI# 1487193058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487193058 |
| Entity Type | Organization |
| Organization Name | HASKINS RESIDENTIAL CARE |
| Practice Address |
1037 S Chestnut Ave Fresno CA 93702-3907 |
| Practice Telephone | 5594536832 |
| Practice Fax Number | 5594536959 |
| Mailing Telephone | 5594536832 |
| Mailing Fax Number | 5594536959 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | NATALIE HASKINS (DIRECTOR OF PROGRAMS AND OPERATIONS) |
| Authorized Official Telephone | 5594536832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
107201410 | CA | Ambulatory Health Care Facilities |
| Street Address |
1037 S CHESTNUT AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720527252 | Natalie Haskins | Community Based Residential Treatment Facility, Mental Illness | 1037 S Chestnut Ave, Fresno, CA 93702-3907 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1629699327 | A New Awakening of The San Joaquin | Clinic/Center | 1121 S Dee Ann Ave, Fresno, CA 93727-0847 | 2020-05-04 |
| 1710430418 | St.joseph Counseling Center | Clinic/Center | 5430 N. Palm #108, St. Joseph Counseling Center, Fresno, CA 93704-1900 | 2016-07-28 |
| 1699909812 | County of Fresno | Clinic/Center | 4441 East Kings Canyon Road, Fresno, CA 93702 | 2009-05-04 |
| 1366580540 | Baart Behavioral Health Services, Inc | Clinic/Center | 539 N Van Ness Ave, Fresno, CA 93728-3419 | 2007-02-01 |
| 1013069830 | Fresno County California Clinic | Clinic/Center | 851 Van Ness Ave, Fresno, CA 93721-2637 | 2007-01-18 |
| 1457952756 | Kristin O. Tristao, Ph.d., Psychologist, PC | Clinic/Center | 6700 N 1st St Ste 138, Fresno, CA 93710-3956 | 2020-11-03 |
| 1922607092 | Jus 4 Today | Clinic/Center | 3752 N 1st St, Fresno, CA 93726-5601 | 2020-10-20 |
| 1851925507 | Derric Brown Lcsw, Licensed Clinical Social Worker Inc. | Clinic/Center | 5588 N Palm Ave, Fresno, CA 93704-1913 | 2020-03-02 |
| 1598396053 | Fresno County Superintendent of Schools | Clinic/Center | 2280 N Valentine Ave, Fresno, CA 93722-5553 | 2020-02-03 |
| Find all providers in FRESNO | ||||
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| 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.