Crest Pointe Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CREST POINTE ASSISTED LIVING INC

Practice address

2855 Prescott Ave
Clovis, CA 93619-7409

Phone

(559) 260-2066

Fax

(559) 765-0418

NPI assigned

Jul 20, 2023

Organization subpart

No

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

Authorized official

Name

Jatinder Kahal

Title

Owner

Phone

(559) 536-5199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1316627607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16818 ROAD 19",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936379233",
            "telephone_number": "559-536-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 PRESCOTT AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197409",
            "telephone_number": "559-260-2066",
            "fax_number": "559-765-0418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2978 Powers Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936197404",
            "country_code": "US",
            "telephone_number": "559-260-2066",
            "fax_number": "559-765-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREST POINTE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "KAHAL",
        "authorized_official_first_name": "JATINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-536-5199"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Clovis, CA
• Providers in Clovis, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.