NPIMap

Organization Active NPI

Allen-Spees Family Home

  • Intellectual Disabilities Intermediate Care Facility
  • Fresno, CA
National Provider Identifier
1770635450
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ALLEN-SPEES FAMILY HOME
Practice address
524 W Roberts Ave
Fresno, CA 93704-1832
Phone
(559) 432-3664
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sue Allen
Title
Owner Licensee
Phone
(559) 432-3664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

524 W Roberts Ave
Fresno, CA 93704-1832

Mailing address

524 W Roberts Ave
Fresno, CA 93704-1832

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770635450. Details of each certification follow.

  • CCN 05G972 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G972

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
ALLEN-SPEES FAMILY HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 17, 1996
Last certification
Nov 25, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
524 West Roberts Avenue
Fresno, CA 93704

National Provider Directory

National Provider Directory
Tax ID family
Allen-Spees Family Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770635450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W ROBERTS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W ROBERTS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041832",
            "telephone_number": "559-432-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN-SPEES FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER LICENSEE",
        "authorized_official_telephone_number": "559-432-3664",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.