Pacific Care Homes 2

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

PACIFIC CARE HOMES 2

Practice address

4458 N Charles Ave
Fresno, CA 93722-4109

Phone

(559) 271-1921

Fax

(559) 271-2086

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jerry W. Davis

Title

Owner

Phone

(559) 271-3431

Specialties & licenses 1

Addresses

Tax ID family

Pacific Care Homes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Care Homes

  • Adult Care Home Facility
  • Fresno, CA
  • NPI 1114021763
  NPD tax ID

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1912190703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 W ALAMOS AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223900",
            "telephone_number": "559-271-3431",
            "fax_number": "559-271-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4458 N CHARLES AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224109",
            "telephone_number": "559-271-1921",
            "fax_number": "559-271-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CARE HOMES 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-271-3431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Pacheco
• Marissa Pacheco
• Rosaura Pacheco
• Sarah Jessica Pacheco
• Pacific Care Homes
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Clinics
• Pacific Family Health, Inc.

• Intellectual Disabilities Intermediate Care Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.