Dycora Transitional Health-Memory Care of Fresno LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DYCORA TRANSITIONAL HEALTH-MEMORY CARE OF FRESNO LLC

Practice address

925 N Cornelia Ave
Fresno, CA 93706-1031

Phone

(559) 275-4785

NPI assigned

Nov 28, 2016

Organization subpart

No

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

Authorized official

Name

Mary Hawkins

Title

Executive

Phone

(559) 275-4785

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1295278059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N CORNELIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937061031",
            "telephone_number": "559-275-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N CORNELIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937061031",
            "telephone_number": "559-275-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCORA TRANSITIONAL HEALTH-MEMORY CARE OF FRESNO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "559-275-4785"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole Dyar
• Justin Arceo Dychioco, M.D.
• Dycora Transitional Health - Community Care LLC
• Dycora Transitional Health - Fresno LLC
• Dycora Transitional Health - Manchester LLC
• Daniel Lee Dye
• Donna Dye
• Barry Jack Dykes, PHARM.D.
• Dynamic Imaging Associates of California, Inc
• Dynamic Integrative Health PC

• Skilled Nursing Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.