Organization Active NPI

Safe Harbor Adult Day Healthcare, Inc

  • Adult Day Care Clinic/Center
  • Fresno, CA
National Provider Identifier
1487868402
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
070000536 Issued in CA
Legal business name
SAFE HARBOR ADULT DAY HEALTHCARE, INC
Practice address
853 Van Ness Ave
Fresno, CA 93721-2620
Phone
(559) 442-4567
Fax
(559) 442-0751
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mrs. Joanie Patricia Ballantyne, R.N.
Title
President
Phone
(559) 442-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 070000536 CA Primary

Addresses

Primary practice location

853 Van Ness Ave
Fresno, CA 93721-2620

Mailing address

853 Van Ness Ave
Fresno, CA 93721-2620
Phone (559) 442-4567

Other identifiers 1

IdentifierTypeStateIssuer
ADU70138FMedicaidCA

National Provider Directory

National Provider Directory

Locations

853 Van Ness Ave
Fresno, CA 93721
Phone (559) 442-4567

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1487868402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 VAN NESS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212620",
            "telephone_number": "559-442-4567",
            "fax_number": "559-442-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 VAN NESS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212620",
            "telephone_number": "559-442-4567",
            "fax_number": "559-442-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR ADULT DAY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BALLANTYNE",
        "authorized_official_first_name": "JOANIE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-442-4567",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "070000536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70138F",
            "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 Jun 20, 2008; 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.