Active NPI
Costi Industries
- Assisted Living Facility
- Fresno, CA
National Provider Identifier
1205781069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- COSTI INDUSTRIES
- Practice address
- 1415 W Scott Ave
Fresno, CA 93711-3006 - Phone
- (559) 944-1913
- NPI assigned
- Feb 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zachary Brandon Costi, RCFE ADMINISTRATOR
- Title
- Ceo/Administrator
- Phone
- (559) 944-1913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1415 W Scott Ave
Fresno, CA 93711-3006
Mailing address
702 Blossom Way S
Madera, CA 93636-8949
Phone (559) 944-1913
Other practice location 1
5633 N Maroa Ave
Fresno, CA 93704-2007
Phone (559) 944-1913
Other practice location 2
542 W Browning Ave
Fresno, CA 93704-1802
Phone (559) 944-1913
Other names 1
- Ever Green Life Care Homes
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1205781069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 BLOSSOM WAY S",
"city": "MADERA",
"state": "CA",
"postal_code": "936368949",
"telephone_number": "559-944-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W SCOTT AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113006",
"telephone_number": "559-944-1913"
}
],
"practiceLocations": [
{
"address_1": "5633 N Maroa Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937042007",
"country_code": "US",
"telephone_number": "559-944-1913",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "542 W Browning Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937041802",
"country_code": "US",
"telephone_number": "559-944-1913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COSTI INDUSTRIES",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-26",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "COSTI",
"authorized_official_first_name": "ZACHARY",
"authorized_official_middle_name": "BRANDON",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "559-944-1913",
"authorized_official_credential": "RCFE ADMINISTRATOR"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ever Green Life Care Homes",
"code": "3",
"type": "Doing Business As"
}
]
}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 Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.