Organization Active NPI

Hope Manor Incorporated

  • Pediatric Skilled Nursing Facility
  • Fresno, CA
National Provider Identifier
1376625889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
HOPE MANOR INCORPORATED
Practice address
1665 M St
Fresno, CA 93721-1121
Phone
(559) 268-5361
NPI assigned
Oct 20, 2006
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
Mrs. Lucille Epperson
Title
Administrator
Phone
(559) 268-5361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X CA Primary

Addresses

Primary practice location

1665 M St
Fresno, CA 93721-1121

Mailing address

1665 M St
Fresno, CA 93721-1121
Phone (559) 268-5361

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05626GMedicaidCA

National Provider Directory

National Provider Directory

Locations

1665 M St
Fresno, CA 93721
Phone (559) 268-5361

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376625889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 M ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211121",
            "telephone_number": "559-268-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 M ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211121",
            "telephone_number": "559-268-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MANOR INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-268-5361",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05626G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.