Organization Active NPI

Bel Haven Care Inc

  • Assisted Living Facility
  • Fresno, CA
National Provider Identifier
1083988463
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
107202480 Issued in CA
Legal business name
BEL HAVEN CARE INC
Practice address
2020 N Weber Ave
Fresno, CA 93705-4313
Phone
(559) 486-5977
Fax
(559) 486-5909
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Mr. Scott Courtney
Title
President
Phone
(916) 768-1128

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 107202480 CA Primary
Alzheimer Center (Dementia Center) 311500000X 107202480 CA

Addresses

Primary practice location

2020 N Weber Ave
Fresno, CA 93705-4313

Mailing address

69 Lincoln Blvd # 239
Lincoln, CA 95648-6303
Phone (916) 768-1128

Other identifiers 1

IdentifierTypeStateIssuer
107202480OtherCADEPT SOCIAL SERVICES - COMMUNITY CARE LICENSING

Other names 1

  • BEL HAVEN CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1083988463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 LINCOLN BLVD # 239",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956486303",
            "telephone_number": "916-768-1128",
            "fax_number": "916-585-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N WEBER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054313",
            "telephone_number": "559-486-5977",
            "fax_number": "559-486-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL HAVEN CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-768-1128",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "107202480",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "107202480",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT SOCIAL SERVICES - COMMUNITY CARE LICENSING",
            "identifier": "107202480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEL HAVEN CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 2013; 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.