Organization Active NPI

Fresno Care Holdings, LLC

  • Skilled Nursing Facility
  • Fresno, CA
National Provider Identifier
1770076945
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040000137 Issued in CA
Legal business name
FRESNO CARE HOLDINGS, LLC
Practice address
5265 E Huntington Ave
Fresno, CA 93727-4013
Phone
(559) 251-8244
Fax
(559) 251-5138
NPI assigned
Jun 12, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Brandon David Bigelow
Title
President/Ceo
Phone
(559) 901-3147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 040000137 CA Primary

Addresses

Primary practice location

5265 E Huntington Ave
Fresno, CA 93727-4013

Mailing address

PO Box 8049
Visalia, CA 93290-8049
Phone (559) 901-3147

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1770076945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8049",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932908049",
            "telephone_number": "559-901-3147",
            "fax_number": "559-667-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 E HUNTINGTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274013",
            "telephone_number": "559-251-8244",
            "fax_number": "559-251-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO CARE HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "559-901-3147"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000137",
            "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 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.