Active NPI
Mission Medical Enterprises, Inc.
- Skilled Nursing Facility
- Visalia, CA
National Provider Identifier
1043316292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 040000529
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT06288J | Medicaid | CA |
Other names 1
- HANFORD NURSING & REHABILITATION CENTER
National Provider Directory
National Provider DirectoryLocations
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.