Organization Active NPI

Mum'S Home Sweet Home, Inc.

  • Assisted Living Facility (Mental Illness)
  • Fresno, CA
National Provider Identifier
1679912398
Registry record updated Jun 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
107201724 Issued in CA
Legal business name
MUM'S HOME SWEET HOME, INC.
Practice address
6723 N Sierra Vista Ave
Fresno, CA 93710-4840
Phone
(229) 269-6828
Fax
(559) 298-8504
NPI assigned
Jun 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2013

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

Authorized official

Name
Daryl Mumford
Title
President/Ceo
Phone
(559) 269-6828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 107201724 CA Primary

Addresses

Primary practice location

6723 N Sierra Vista Ave
Fresno, CA 93710-4840

Mailing address

6723 N Sierra Vista Ave
Fresno, CA 93710-4840
Phone (229) 269-6828

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371254400000",
    "number": "1679912398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 N SIERRA VISTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937104840",
            "telephone_number": "229-269-6828",
            "fax_number": "559-298-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 N SIERRA VISTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937104840",
            "telephone_number": "229-269-6828",
            "fax_number": "559-298-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUM'S HOME SWEET HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-15",
        "last_updated": "2013-06-15",
        "status": "A",
        "authorized_official_last_name": "MUMFORD",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "559-269-6828"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "CA",
            "license": "107201724",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2013; 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.