2ND Home Incorporated
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Clovis, CA
NPI 1730716952 · NPPES record last updated Jul 9, 2020
Key facts
- NPI
- 1730716952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- 2ND HOME INCORPORATED
- Practice address
- 1797 San Jose Ave
Clovis, CA 93611-3078 - Phone
- (559) 790-2271
- Fax
- (559) 321-8367
- NPI assigned
- Mar 26, 2020
- Organization subpart
- No
Authorized official
- Name
- Jennifer Fish
- Title
- Director
- Phone
- (559) 790-2271
Corporate family (same tax ID) 2
Practitioners 16
-
Ronkeisha Kaia Woods, LCSW
-
Cynthia Renee Callaghan, LCSW
-
Ivana Jelavic, LIMHP, LPCC, LCPC
National Provider Directory
- Tax ID family
- 2ND Home Inc-Sample Facility
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
1797 San Jose Ave
Clovis, CA 93611-3078
Mailing address
1187 N. Willow Ave. Ste 103 #22
Clovis, CA 93611-4411
Phone (559) 790-2271
Other names
- 2nd Home, Inc.-San Jose Facility
Other providers in Clovis, CA
- 1Health
- 2ND Home Incorporated
- 3H Medical Group, Inc
- 4Evergreen Family Services Inc
- A Mu D O Inc
- A Plus Urgent Care PC
- Primitivo Abapo
All providers in Clovis, CA · Mental Illness Community Based Residential Treatment Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.