Organization Active NPI

The Sisters of Nazareth of Fresno

  • Skilled Nursing Facility
  • Fresno, CA
National Provider Identifier
1861547556
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE SISTERS OF NAZARETH OF FRESNO
Practice address
2121 N 1St St
Fresno, CA 93703-2301
Phone
(559) 237-2257
Fax
(559) 237-1958
NPI assigned
Jan 24, 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
Marie McCormack
Title
Administrator
Phone
(559) 237-2257

Specialties & licenses 1

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

Addresses

Primary practice location

2121 N 1St St
Fresno, CA 93703-2301

Mailing address

2121 N 1St St
Fresno, CA 93703-2301
Phone (559) 237-2257

Other identifiers 1

IdentifierTypeStateIssuer
LTC90029FMedicaidCA

Other names 1

  • Nazareth House Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0876938Nazareth House2121 North First Street, Fresno, CA 93703Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861547556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032301",
            "telephone_number": "559-237-2257",
            "fax_number": "559-237-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032301",
            "telephone_number": "559-237-2257",
            "fax_number": "559-237-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SISTERS OF NAZARETH OF FRESNO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-237-2257"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC90029F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nazareth House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.