Organization Active NPI

Attentive Senior Care IV, LLC

  • Adult Care Home Facility
  • Fresno, CA
National Provider Identifier
1730966946
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ATTENTIVE SENIOR CARE IV, LLC
Practice address
1829 S Fairway Ave
Fresno, CA 93727-6218
Phone
(916) 996-6215
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Lawrence C Holland Jr.
Title
Owner
Phone
(916) 996-6215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1829 S Fairway Ave
Fresno, CA 93727-6218

Mailing address

1829 S Fairway Ave
Fresno, CA 93727-6218
Phone (916) 996-6215

Other names 1

  • Attentive Senior Care IV, LLC 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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1730966946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 S FAIRWAY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276218",
            "telephone_number": "916-996-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 S FAIRWAY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276218",
            "telephone_number": "916-996-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTENTIVE SENIOR CARE IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-996-6215",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Attentive Senior Care IV, LLC",
            "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 Sep 11, 2023; 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.