Active NPI
Bel Haven Care Inc
- Assisted Living Facility
- Fresno, CA
National Provider Identifier
1083988463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 107202480
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107202480 | Other | CA | DEPT SOCIAL SERVICES - COMMUNITY CARE LICENSING |
Other names 1
- BEL HAVEN CARE
National Provider Directory
National Provider DirectoryNPI 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.