Twilight Haven

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100490817 Issued in CA

Legal business name

TWILIGHT HAVEN

Practice address

1717 S Winery Ave
Fresno, CA 93727-5011

Phone

(559) 251-8417

Fax

(559) 251-1103

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Sharon D Bailey

Title

Administrator

Phone

(559) 251-8417

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1427057405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S WINERY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275011",
            "telephone_number": "559-251-8417",
            "fax_number": "559-251-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S WINERY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937275011",
            "telephone_number": "559-251-8417",
            "fax_number": "559-251-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWILIGHT HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-251-8417"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "100400622",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "100490817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05658F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Tusakul, PHARMD
• Elisabeth Tweedy
• TWG Medical Cac
• Matthew Jarod Twichell, CRNA, MSN
• Stacey Twiggs
• Twilight Homes, Inc. (Green Villa RCFE/Sunny Garden RCFE)
• Geoff Raymond Twitchell, PH.D.
• Melinda Jane Tyler, M.D., PH.D.
• Sapphire Tylor
• Amanda A. Tymn, FNP

• Skilled Nursing Facility in Fresno, CA
• Providers in Fresno, 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 May 3, 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.