NPIMap

Organization Active NPI

Allen-Spees Family Home III

  • Intellectual Disabilities Intermediate Care Facility
  • Fresno, CA
National Provider Identifier
1235281304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ALLEN-SPEES FAMILY HOME III
Practice address
286 W Sierra Ave
Fresno, CA 93704-1228
Phone
(559) 432-6798
Fax
(559) 449-0859
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sue Allen
Title
Owner Licensee
Phone
(559) 432-6798

Specialties & licenses 1

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

Addresses

Primary practice location

286 W Sierra Ave
Fresno, CA 93704-1228

Mailing address

286 W Sierra Ave
Fresno, CA 93704-1228
Phone (559) 432-6798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235281304. Details of each certification follow.

  • CCN 55G366 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G366

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ALLEN-SPEES FAMILY HOME III
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 14, 2001
Last certification
Dec 3, 2001
Ownership / control type
PRIVATE PROPRIETARY
Facility address
286 West Sierra
Fresno, CA 93704

National Provider Directory

National Provider Directory
Tax ID family
Allen-Spees Family Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235281304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 W SIERRA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041228",
            "telephone_number": "559-432-6798",
            "fax_number": "559-449-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 W SIERRA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041228",
            "telephone_number": "559-432-6798",
            "fax_number": "559-449-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN-SPEES FAMILY HOME III",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER LICENSEE",
        "authorized_official_telephone_number": "559-432-6798"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.