NPIMap

Organization Active NPI

Ahwahnee Care Homes, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Ahwahnee, CA
National Provider Identifier
1295832665
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
05G904 Issued in CA
Legal business name
AHWAHNEE CARE HOMES, INC.
Practice address
444665 Road 619
Ahwahnee, CA 93601
Phone
(559) 658-2444
Fax
(559) 641-7898
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Leslie Clarke Stevens, RN
Title
Administrator
Phone
(559) 658-2444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 05G815 CA
Intellectual Disabilities Intermediate Care Facility 315P00000X 05G904 CA Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X 55G074 CA

Addresses

Primary practice location

444665 Road 619
Ahwahnee, CA 93601

Mailing address

PO Box 346
Ahwahnee, CA 93601-0346
Phone (559) 658-2444

Other identifiers 3

IdentifierTypeStateIssuer
LTC80133FMedicaidCA
LTC80200FMedicaidCA
LTC80099FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295832665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "AHWAHNEE",
            "state": "CA",
            "postal_code": "936010346",
            "telephone_number": "559-658-2444",
            "fax_number": "559-641-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444665 ROAD 619",
            "city": "AHWAHNEE",
            "state": "CA",
            "postal_code": "93601",
            "telephone_number": "559-658-2444",
            "fax_number": "559-641-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHWAHNEE CARE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "CLARKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-658-2444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "05G815",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "05G904",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "55G074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80133F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80200F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80099F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahwahnee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.