NPIMap

Organization Active NPI

Fresno Youth Care Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
National Provider Identifier
1508410341
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FRESNO YOUTH CARE HOMES, INC.
Practice address
1640 W Shaw Ave Ste 100
Fresno, CA 93711-3506
Phone
(559) 840-1472
Fax
(559) 294-5946
NPI assigned
Jul 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Gloreta Johnson
Title
Ceo
Phone
(559) 917-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1640 W Shaw Ave Ste 100
Fresno, CA 93711-3506

Mailing address

2437 Santa Ana Ave
Clovis, CA 93611-6533
Phone (559) 917-3443

Other names 2

  • FYCH Palo Alto House Other name
  • FYCH Weldon House Other name

National Provider Directory

National Provider Directory
Tax ID family
Fresno Youth Care Homes Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1640 W Shaw Ave
Ste 100
Fresno, CA 93711
Phone (559) 840-1472

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1508410341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 SANTA ANA AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116533",
            "telephone_number": "559-917-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W SHAW AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113506",
            "telephone_number": "559-840-1472",
            "fax_number": "559-294-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO YOUTH CARE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GLORETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-917-3443"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYCH Palo Alto House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FYCH Palo Alto House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FYCH Weldon House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 16, 2021; 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.