Organization Active NPI

Lavang Care Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Fresno, CA
National Provider Identifier
1851560916
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
LAVANG CARE HOMES
Practice address
4644 N Barcus Ave
Fresno, CA 93722-8656
Phone
(559) 515-6823
Fax
(800) 496-0381
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Arlene Pallanan Bautista, BSN, RN
Title
Don
Phone
(559) 704-6796

Specialties & licenses 1

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

Addresses

Primary practice location

4644 N Barcus Ave
Fresno, CA 93722-8656

Mailing address

2557 E Goshen Ave
Fresno, CA 93720-0503
Phone (559) 578-6624

National Provider Directory

National Provider Directory
Tax ID family
Lavang Care Homes Inc3 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": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1851560916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 E GOSHEN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200503",
            "telephone_number": "559-578-6624",
            "fax_number": "800-496-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 N BARCUS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228656",
            "telephone_number": "559-515-6823",
            "fax_number": "800-496-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVANG CARE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "PALLANAN",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "559-704-6796",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "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 Feb 16, 2024; 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.