Active NPI
Gaither's Family Home Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Tulare, CA
National Provider Identifier
1972628287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- GAITHER'S FAMILY HOME INC.
- Practice address
- 1302 E Carmelo Ave
Tulare, CA 93274-3020 - Phone
- (559) 781-0301
- Fax
- (559) 686-2693
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Henrietta Gaither
- Title
- Licensee
- Phone
- (559) 781-0301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | CA | Primary |
Addresses
Primary practice location
1302 E Carmelo Ave
Tulare, CA 93274-3020
Mailing address
1408 S Newcomb St
Porterville, CA 93257-9354
Phone (559) 920-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05G878 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Gaither's Family Home Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Porterville, CA
- NPI 1508981812
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Tulare, CA
- NPI 1154446466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972628287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 S NEWCOMB ST",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932579354",
"telephone_number": "559-920-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 E CARMELO AVE",
"city": "TULARE",
"state": "CA",
"postal_code": "932743020",
"telephone_number": "559-781-0301",
"fax_number": "559-686-2693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAITHER'S FAMILY HOME INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GAITHER",
"authorized_official_first_name": "HENRIETTA",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "559-781-0301",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05G878",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulare, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.