NPIMap

Organization Active NPI

Shepherd Home

  • Intellectual Disabilities Intermediate Care Facility
  • Fresno, CA
National Provider Identifier
1114173358
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
040000491 Issued in CA
Legal business name
SHEPHERD HOME
Practice address
8893 N Sierra Vista Ave
Fresno, CA 93720-3948
Phone
(559) 298-7998
Fax
(559) 298-1551
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Mr. Lee W Shepherd
Title
Owner
Phone
(559) 298-7998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 040000491 CA Primary

Addresses

Primary practice location

8893 N Sierra Vista Ave
Fresno, CA 93720-3948

Mailing address

8893 N Sierra Vista Ave
Fresno, CA 93720-3948
Phone (559) 298-7998

National Provider Directory

National Provider Directory
Tax ID family
Shepherd Family Home2 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.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1114173358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8893 N SIERRA VISTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203948",
            "telephone_number": "559-298-7998",
            "fax_number": "559-298-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8893 N SIERRA VISTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203948",
            "telephone_number": "559-298-7998",
            "fax_number": "559-298-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-298-7998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "040000491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 7, 2008; 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.