Organization Active NPI

Our Fathers Home LLC

  • Religious Nonmedical Health Care Institution
  • Fresno, CA
National Provider Identifier
1881315026
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X
Legal business name
OUR FATHERS HOME LLC
Practice address
3626 E Ventura Ave
Fresno, CA 93702-3252
Phone
(559) 667-3608
NPI assigned
Sep 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Mrs. Isabel Vela, PASTORNPI 1336855675
Title
Pastor
Phone
(559) 667-3608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Lodging Provider 177F00000X
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X
In Home Supportive Care Agency 253Z00000X
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Rehabilitation Clinic/Center 261QR0400X
Recovery Care Clinic/Center 261QR0800X
Religious Nonmedical Health Care Institution 282J00000X Primary
Point of Service 305S00000X
Private Vehicle 347C00000X

Addresses

Primary practice location

3626 E Ventura Ave
Fresno, CA 93702-3252

Mailing address

1830 S Mooney Blvd Ste 101
Visalia, CA 93277-4488
Phone (559) 667-3608

Other practice location 1

1830 S Mooney Blvd Ste 101
Visalia, CA 93277-4488
Phone (559) 667-3608

Other practice location 2

255 N Fulton St Ste 109
Fresno, CA 93701-1600
Phone (559) 667-3608

National Provider Directory

National Provider Directory

Locations

255 N Fulton St
Ste 109
Fresno, CA 93701
Phone (559) 667-3608

1830 S Mooney Blvd
Ste 101
Visalia, CA 93277
Phone (559) 667-3608

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1881315026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S MOONEY BLVD STE 101",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774488",
            "telephone_number": "559-667-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 E VENTURA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023252",
            "telephone_number": "559-667-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 S Mooney Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774488",
            "country_code": "US",
            "telephone_number": "559-667-3608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 N Fulton St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937011600",
            "country_code": "US",
            "telephone_number": "559-667-3608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUR FATHERS HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "559-667-3608",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PASTOR"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 2, 2023; 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.