Organization Active NPI

Valley Teen Ranch

  • Case Management Agency
  • Fresno, CA
National Provider Identifier
1861291445
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VALLEY TEEN RANCH
Practice address
2610 W Shaw LN Ste 105
Fresno, CA 93711-2775
Phone
(559) 437-1144
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Andrea Michele Evans
Title
Ceo
Phone
(559) 437-1144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2610 W Shaw LN Ste 105
Fresno, CA 93711-2775

Mailing address

2610 W Shaw LN Ste 105
Fresno, CA 93711-2775
Phone (559) 437-1144

National Provider Directory

National Provider Directory
Tax ID family
Valley Teen Ranch3 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.

Locations

2610 W Shaw Ln
Ste 105
Fresno, CA 93711
Phone (559) 437-1144

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1861291445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 W SHAW LN STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112775",
            "telephone_number": "559-437-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W SHAW LN STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112775",
            "telephone_number": "559-437-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY TEEN RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-437-1144"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 Oct 10, 2025; 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.