NPIMap

Organization Active NPI

Fresno Youth Care Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
National Provider Identifier
1124784970
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FRESNO YOUTH CARE HOMES, INC.
Practice address
64 E Weldon Ave
Fresno, CA 93704-5956
Phone
(559) 442-1947
NPI assigned
Nov 16, 2021
Organization subpart
Yes
Parent organization
FRESNO YOUTH CARE HOMES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Gloreta Johnson
Title
Ceo
Phone
(559) 917-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

64 E Weldon Ave
Fresno, CA 93704-5956

Mailing address

2437 Santa Ana Ave
Clovis, CA 93611-6533

Other names 1

  • FYCH Weldon House Other name

National Provider Directory

National Provider Directory
Tax ID family
Fresno Youth Care Homes Inc3 organizations share this tax ID, including this one
Part of
Fresno Youth Care Homes Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1124784970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 SANTA ANA AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E WELDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937045956",
            "telephone_number": "559-442-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO YOUTH CARE HOMES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESNO YOUTH CARE HOMES, INC.",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GLORETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-917-3443"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYCH Weldon House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 16, 2021; 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.