Organization Active NPI

Live Again Fresno

  • Case Manager/Care Coordinator
  • Fresno, CA
National Provider Identifier
1023824802
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Dec 6, 2024

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.