Active NPI
Live Again Fresno
- Case Manager/Care Coordinator
- Fresno, CA
National Provider Identifier
1023824802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- LIVE AGAIN FRESNO
- Practice address
- 1145 W Hedges Ave
Fresno, CA 93728-1219 - Phone
- (559) 294-1390
- NPI assigned
- Dec 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janessa C Williams
- Title
- Program Manager
- Phone
- (913) 406-4569
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Supports Brokerage Agency | 251X00000X |
Addresses
Primary practice location
1145 W Hedges Ave
Fresno, CA 93728-1219
Mailing address
1145 W Hedges Ave
Fresno, CA 93728-1219
Phone (559) 294-1390
Other names 1
- Live Again Fresno
National Provider Directory
National Provider DirectoryLocations
1145 W Hedges Ave
Fresno, CA 93728
Phone (559) 294-1390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733443200000",
"number": "1023824802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 W HEDGES AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937281219",
"telephone_number": "559-294-1390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 W HEDGES AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937281219",
"telephone_number": "559-294-1390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE AGAIN FRESNO",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JANESSA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "913-406-4569"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Live Again Fresno",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.