Pacific Care Homes

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PACIFIC CARE HOMES

Practice address

3107 W Gettysburg Ave
Fresno, CA 93722

Phone

(559) 271-3431

Fax

(559) 271-2086

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry W Davis

Title

Owner Ceo

Phone

(559) 271-3431

Specialties & licenses 1

Addresses

Tax ID family

Pacific Care Homes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Care Homes 2

  • Intellectual Disabilities Intermediate Care Facility
  • Fresno, CA
  • NPI 1912190703
  NPD tax ID

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114021763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 W ALAMOS AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93722",
            "telephone_number": "559-271-3431",
            "fax_number": "559-271-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 W GETTYSBURG AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93722",
            "telephone_number": "559-271-3431",
            "fax_number": "559-271-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER    CEO",
        "authorized_official_telephone_number": "559-271-3431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald L Pacheco, FNP PAC
• Iris Pacheco
• Marissa Pacheco
• Rosaura Pacheco
• Sarah Jessica Pacheco
• Pacific Care Homes 2
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics

• Adult Care Home Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.