The Living Centers of Fresno, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

100095AP Issued in CA

Legal business name

THE LIVING CENTERS OF FRESNO, INC.

Practice address

4576 E Shields Ave
Fresno, CA 93726-7220

Phone

(209) 575-1580

Fax

(209) 575-2017

NPI assigned

Jul 29, 2016

Last updated

Sep 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Troy DormanNPI 1811368681

Title

President

Phone

(209) 575-1580

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Troy Dorman

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
  • NPI 1811368681
  Authorized official Same address or phone

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1457804114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 13TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540903",
            "telephone_number": "209-575-1580",
            "fax_number": "209-575-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267220",
            "telephone_number": "209-575-1580",
            "fax_number": "209-575-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVING CENTERS OF FRESNO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-575-1580"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "100095AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.