Organization Active NPI

Anm Diversified Inc

Doing business as Everspring Retirement Home

  • Assisted Living Facility
  • Fresno, CA
National Provider Identifier
1598268922
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
107208848 Issued in CA
Legal business name
ANM DIVERSIFIED INC
Doing business as
Everspring Retirement Home
Practice address
5738 N Lola Ave
Fresno, CA 93722-2537
Phone
(559) 392-0393
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Arian Mazloomi
Title
President
Phone
(559) 392-0393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 107208848 CA Primary

Addresses

Primary practice location

5738 N Lola Ave
Fresno, CA 93722-2537

Mailing address

5738 N Lola Ave
Fresno, CA 93722-2537
Phone (559) 392-0393

Other names 1

  • EVERSPRING RETIREMENT HOME Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1598268922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 N LOLA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222537",
            "telephone_number": "559-392-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 N LOLA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222537",
            "telephone_number": "559-392-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANM DIVERSIFIED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "MAZLOOMI",
        "authorized_official_first_name": "ARIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-392-0393"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "107208848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERSPRING RETIREMENT HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2018; 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.