NPIMap

Organization Active NPI

Valley Children'S Hospital

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1710058151
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VALLEY CHILDREN'S HOSPITAL
Practice address
5085 E McKinley Ave
Fresno, CA 93727-1964
Phone
(559) 353-7125
Fax
(559) 353-7461
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Tina Mycroft
Title
Senior VP and Cfo
Phone
(559) 353-7090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 040000416 CA
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5085 E McKinley Ave
Fresno, CA 93727-1964

Mailing address

5085 E McKinley Ave
Fresno, CA 93727-1964
Phone (559) 353-7125

Other identifiers 1

IdentifierTypeStateIssuer
HHA70273FMedicaidCA

Other names 1

  • Valley Children's Home Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Home health agency certification: CCN 05K002

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
VALLEY CHILDREN'S HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 30, 1996
Last certification
Jul 2, 2019
Ownership / control type
Proprietary
Facility address
5085 E McKinley Ave
Fresno, CA 93727

National Provider Directory

National Provider Directory
Tax ID family
Children'S Hospital Central California11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1710058151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 E MCKINLEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271964",
            "telephone_number": "559-353-7125",
            "fax_number": "559-353-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 E MCKINLEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271964",
            "telephone_number": "559-353-7125",
            "fax_number": "559-353-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MYCROFT",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "SENIOR VP AND CFO",
        "authorized_official_telephone_number": "559-353-7090"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "040000416",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA70273F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Children's Home Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Valley Children's Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.