Organization Active NPI

Dedicated Care in-Home Services

  • In Home Supportive Care Agency
  • Fresno, CA
National Provider Identifier
1386919983
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
102067004961294 Issued in CA
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

Updated by the provider on Mar 14, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.