Active NPI
Dedicated Care in-Home Services
- In Home Supportive Care Agency
- Fresno, CA
National Provider Identifier
1386919983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 102067004961294
- Legal business name
- DEDICATED CARE IN-HOME SERVICES
- Practice address
- 3995 N Fresno St
Suite 108
Fresno, CA 93726-4031 - Phone
- (559) 765-0888
- Fax
- (559) 761-1037
- NPI assigned
- Mar 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Antonio R Chavez
- Title
- Executive Director
- Phone
- (559) 765-0888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 102067004961294 | CA | Primary |
Addresses
Primary practice location
3995 N Fresno St
Suite 108
Fresno, CA 93726-4031
Mailing address
3995 N Fresno St
Suite 108
Fresno, CA 93726-4031
Phone (559) 765-0888
National Provider Directory
National Provider DirectoryLocations
3995 N Fresno St
Ste 108
Fresno, CA 93726
Phone (559) 227-7919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1386919983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3995 N FRESNO ST",
"address_2": "SUITE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264031",
"telephone_number": "559-765-0888",
"fax_number": "559-761-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3995 N FRESNO ST",
"address_2": "SUITE 108",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264031",
"telephone_number": "559-765-0888",
"fax_number": "559-761-1037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEDICATED CARE IN-HOME SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "CHAVEZ",
"authorized_official_first_name": "ANTONIO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "559-765-0888",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "CA",
"license": "102067004961294",
"primary": true
}
],
"identifiers": [],
"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 Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.