R. Fellen, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

040000154 Issued in CA

Legal business name

R. FELLEN, INC.

Practice address

2939 S Peach Ave
Fresno, CA 93725-9302

Phone

(559) 233-6248

Fax

(559) 233-3368

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael Fellen

Title

Administrator

Phone

(559) 233-6248

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunnyside Convalescent Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 555352

Legal name

R. FELLEN, INC.

Doing business as

SUNNYSIDE CONVALESCENT HOSPITAL

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1989

Last certification

Sep 13, 2024

Beds

101

Ownership / control type

Limited Liability Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 20, 1970 in CA

Enrollment address

2939 S Peach Ave
Fresno, CA 93725-9302

Nursing home name

GRACE HEALTHCARE CENTER

Listed as

Grace Healthcare CenterCCN 555352

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10158.4 residents per day on average

Penalties (3 years)

4Fines totaling $13,761

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Roman B Malley, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1083655443

  Nursing home

  Care Compare affiliation
• O'Key Sams, M.D.

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1760409726

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1891785143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 S PEACH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937259302",
            "telephone_number": "559-233-6248",
            "fax_number": "559-233-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 S PEACH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937259302",
            "telephone_number": "559-233-6248",
            "fax_number": "559-233-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. FELLEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "FELLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-233-6248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR18427F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alessandra Marie Usman Quisado, RN
• Jenie Usman Quisado, RN
• Erica Quitoriano
• R C Non Emergency Medical Transportation
• R E Giometti DDS,Inc
• Wilma Baldovi Rabanal, RN
• Joel Rabara, MD
• Julie Rose Rabbani, MFT
• Alyssa Erin Rabener
• Laurie Noel Rabens, PH.D.

• Skilled Nursing Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.