Dycora Transitional Health & Living -- Porterville LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DYCORA TRANSITIONAL HEALTH & LIVING -- PORTERVILLE LLC

Practice address

1100 W Morton Ave
Porterville, CA 93257-1947

Phone

(559) 782-1509

Fax

(559) 781-5220

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Julianne Williams

Title

Ceo

Phone

(559) 430-3901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1316467665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115507",
            "telephone_number": "559-430-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MORTON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571947",
            "telephone_number": "559-782-1509",
            "fax_number": "559-781-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCORA TRANSITIONAL HEALTH & LIVING -- PORTERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-430-3901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janette Dunivan, DDS
• Raquel Olea Duran Vasquez
• Angela Maria Duran, PHYSICAL THERAPIST
• Antonio Durazo Jr., M.D.
• Raj H Dwivedi, MD
• Earl S Pearson MD Inc
• Michael J Ebaugh, MD
• Miranda Edmonds
• Kelly Roxanne Edwards, PT
• Lisa M Edwards, PT

• Skilled Nursing Facility in Porterville, CA
• Providers in Porterville, 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 Nov 15, 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.