BK House of Grace and Joy, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

107208794 Issued in CA

Legal business name

BK HOUSE OF GRACE AND JOY, INC.

Practice address

1463 N Archie Ave
Fresno, CA 93703-4308

Phone

(559) 536-9065

Fax

(559) 570-8912

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Joycelyn Bare Hopper

Title

Rcfe Administrator

Phone

(559) 940-9708

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1821589201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 N ARCHIE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937034308",
            "telephone_number": "559-536-9065",
            "fax_number": "559-570-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 N ARCHIE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937034308",
            "telephone_number": "559-536-9065",
            "fax_number": "559-570-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK HOUSE OF GRACE AND JOY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "JOYCELYN",
        "authorized_official_middle_name": "BARE",
        "authorized_official_title_or_position": "RCFE ADMINISTRATOR",
        "authorized_official_telephone_number": "559-940-9708"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "107208794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kera Bispham
• Veronica Bisuano
• Herbert Ganah Bivins, MD
• Lisa Bjorklund
• Lars Bjorkman, M.D.
• BK Pharmacy Corp
• BK Pharmacy Corp
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• BK Pharmacy Corp
• Black Enterprises Healthcare Management, Inc

• Assisted Living Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.