Citadel M Chavez, RN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

5100 N 6TH St Ste 154
Fresno, CA 93710-7515

Phone

(559) 355-8956

Fax

(559) 227-7203

NPI assigned

Oct 1, 2018

Last updated

Oct 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Citadel & Ivan LLC

  dba Gentle Care Homehealth

  • Home Health Agency
  • Fresno, CA
  • NPI 1730714171
  NPD Authorized official
• Citadel & Ivan LLC

  • Community Based Hospice Care Agency
  • Fresno, CA
  • NPI 1982147492
  NPD Authorized official
• Gentle Care Hospice & Homehealth LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1831894922
  NPD Authorized official

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1154806545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST STE 154",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107515",
            "telephone_number": "559-355-8956",
            "fax_number": "559-227-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST STE 154",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107515",
            "telephone_number": "559-355-8956",
            "fax_number": "559-227-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "CITADEL",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "D5256292",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Chavez, OD
• Antoinette Michelle Chavez
• Ashley Chavez
• Audrey S Chavez
• Carrie Lebario Chavez
• David Chavez Sr., CMHS II
• Elizabeth Chavez
• Erica Gonzalez Chavez
• Estefani Chavez
• Flor Miriam Chavez

• Home Health Agency in Fresno, CA
• Providers in Fresno, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.