Garden Manor, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GARDEN MANOR, INC.

Practice address

4983 E Olive Ave
Fresno, CA 93727-1908

Phone

(559) 255-8650

Fax

(559) 255-1105

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Joan Black

Title

Licensee/Administrator

Phone

(559) 289-3166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1154184521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4983 E OLIVE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271908",
            "telephone_number": "559-255-8650",
            "fax_number": "559-255-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4983 E OLIVE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271908",
            "telephone_number": "559-255-8650",
            "fax_number": "559-255-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "559-289-3166"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Garcia
• Wendy Garcia
• Yvette Garcia
• Nancy Guadalupe Garciaarevalo
• Dalia Garcilazo
• Gardenia Senior Care Center Inc (Sunnyside Convalescent Hospital)
• Vassi Ann Gardikas, MD
• Abbeygail Gardner
• Jonathan Gardner, CRNA
• Joshua Adam Gardner, OD

• Assisted Living Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.