FRESNO COMMUNITY BASED ADULT SERVICE CENTER, LLC (NPI# 1538608898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538608898 |
| Entity Type | Organization |
| Organization Name | FRESNO COMMUNITY BASED ADULT SERVICE CENTER, LLC |
| Other Organization Name | FRESNO COMMUNITY BASED ADULT SERVICES CENTER |
| Practice Address |
1060 Fulton Mall Fresno CA 93721-2512 |
| Practice Telephone | 6194144530 |
| Mailing Telephone | 6194144530 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | MR. SEVAK KHATCHADOURIAN (CEO) |
| Authorized Official Telephone | 6194144530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresno Community Based Adult Services Center | Doing Business As Name - Organization |
| Street Address |
1060 FULTON MALL |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1033312681 | Valley Adult Day Health Care Center | Clinic/Center | 4835 E Mckinley Ave, Fresno, CA 93703-3532 | 2007-06-08 |
| 1487868402 | Safe Harbor Adult Day Healthcare, Inc | Clinic/Center | 853 Van Ness Ave, Fresno, CA 93721-2620 | 2007-05-09 |
| 1609094713 | Saint Agnes Adult Day Health Care | Clinic/Center | 1163 E Warner Ave, Fresno, CA 93710-4030 | 2007-04-23 |
| 1316165582 | Adhc of Fresno & Clovis | Clinic/Center | 3202 E Ashlan Ave, Fresno, CA 93726-3502 | 2007-04-23 |
| 1831233162 | Gaaads, Inc. | Clinic/Center | 3660 E Dakota Ave, Fresno, CA 93726-5043 | 2007-02-19 |
| 1164578290 | Fresno Adult Day Health Care Facility, Inc. | Clinic/Center | 5191 N 6th St, Fresno, CA 93710-7502 | 2007-01-25 |
| 1508924135 | Heritage Adhc | Clinic/Center | 3115 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-12-05 |
| 1669546891 | Young At Heart Adult Day Health Care Center | Clinic/Center | 3677 W Beechwood Ave, Fresno, CA 93711-0648 | 2006-11-20 |
| 1770197659 | The Fresno Center | Clinic/Center | 4855 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-09-08 |
| 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.