Organization Active NPI

Mission Medical Enterprises, Inc.

  • Skilled Nursing Facility
  • Visalia, CA
National Provider Identifier
1043316292
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040000529 Issued in CA
Legal business name
MISSION MEDICAL ENTERPRISES, INC.
Doing business as
HANFORD NURSING & REHABILITATION CENTER
Practice address
420 E Murray Ave
Visalia, CA 93291-5053
Phone
(559) 625-4003
Fax
(559) 625-4113
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark Allan Fisher
Title
President
Phone
(559) 625-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 040000529 CA Primary

Addresses

Primary practice location

420 E Murray Ave
Visalia, CA 93291-5053

Mailing address

1007 W Lacey Blvd
Hanford, CA 93230-4331
Phone (559) 582-2871

Other identifiers 1

IdentifierTypeStateIssuer
ZZT06288JMedicaidCA

Other names 1

  • HANFORD NURSING & REHABILITATION CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

420 E Murray Ave
Visalia, CA 93291
Phone (559) 625-4003

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1043316292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304331",
            "telephone_number": "559-582-2871",
            "fax_number": "559-582-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MURRAY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915053",
            "telephone_number": "559-625-4003",
            "fax_number": "559-625-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-625-4003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06288J",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANFORD NURSING & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.