Organization Active NPI

Hy-Pana House Care Center, Inc.

  • Skilled Nursing Facility
  • Fresno, CA
National Provider Identifier
1942209267
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040000107 Issued in CA
Legal business name
HY-PANA HOUSE CARE CENTER, INC.
Practice address
3510 E Shields Ave
Fresno, CA 93726-6909
Phone
(559) 222-4807
Fax
(559) 227-9724
NPI assigned
Jul 19, 2005
Organization subpart
Yes
Parent organization
HORIZON WEST HEALTHCARE OF CALIFORNIA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Larry E Bear
Title
Chief Executive Officer
Phone
(916) 624-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 040000107 CA Primary

Addresses

Primary practice location

3510 E Shields Ave
Fresno, CA 93726-6909

Mailing address

4020 Sierra College Blvd
Ste 190
Rocklin, CA 95677-3906
Phone (916) 624-6230

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05204GMedicaidCA

National Provider Directory

National Provider Directory

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": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1942209267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SIERRA COLLEGE BLVD",
            "address_2": "STE 190",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773906",
            "telephone_number": "916-624-6230",
            "fax_number": "916-624-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266909",
            "telephone_number": "559-222-4807",
            "fax_number": "559-227-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HY-PANA HOUSE CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORIZON WEST HEALTHCARE OF CALIFORNIA, INC.",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BEAR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-624-6230"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05204G",
            "state": "CA"
        }
    ],
    "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 Jun 10, 2008; 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.