COPPER RIVER RETIREMENT GROUP, LLC (NPI# 1871078295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871078295 |
| Entity Type | Organization |
| Organization Name | COPPER RIVER RETIREMENT GROUP, LLC |
| Practice Address |
1115 E Pinehurst Ave Fresno CA 93730-5931 |
| Practice Telephone | 5599774232 |
| Practice Fax Number | 5593267891 |
| Mailing Telephone | 5599774232 |
| Mailing Fax Number | 5593267891 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | LA SHAY DUSTIN (MANAGING MEMBER) |
| Authorized Official Telephone | 5599774232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Copper River Retirement Group | Doing Business As Name - Organization |
| Street Address |
1115 E PINEHURST AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93730-5931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114449055 | Tina Sakha | Pharmacist | 1027 E Carnoustie Ave, Fresno, CA 93730 | 2017-07-12 |
| 1730558305 | Advanced Specialty Care | Internal Medicine | 1681 E. Banwell Lane, Fresno, CA 93730 | 2015-09-24 |
| 1316356132 | Eliana Torquido | Pharmacist | 2020 E. Copper Ave, Fresno, CA 93730 | 2014-08-06 |
| 1821384785 | Chad J. Anderson D.m.d. Inc | Dentist | 9497 N. Fort Washington Rd., Suite 106, Fresno, CA 93730 | 2011-06-20 |
| 1528118650 | Catherine Antoinette Lambetecchio | Dentist | 9495 N Fort Washington Rd, Suite 101, Fresno, CA 93730 | 2007-01-11 |
| 1023295458 | Valley Wide Medical Group Inc | Family Medicine | 12500 Boron Ave, Boron, CA 93730 | 2008-01-29 |
| 1306073762 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 2020 East Copper Avenue, Fresno, CA 93730-0000 | 2009-06-12 |
| 1417225228 | Alfredo Rodriguez Abrams, Dmd, Inc. | Dentist | 9495 N Fort Washington Rd Ste 104, Fresno, CA 93730-0605 | 2011-12-07 |
| 1457986986 | Got Sleep Inc | Clinic/Center | 9497 N Fort Washington Rd Ste 103, Fresno, CA 93730-0606 | 2020-03-04 |
| 1770777260 | Monica J Dibble | Respiratory Therapist, Registered | 814 E Ridgecrest Dr, Fresno, CA 93730-0615 | 2007-08-28 |
| Find all providers in zip 93730 | ||||
| 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 |
| 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 |
| 1366828766 | Twilight Homes, Inc. | Assisted Living Facility | 1463 W Sierra Ave, Fresno, CA 93711-1906 | 2015-08-07 |
| 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 | ||||
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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.