Organization Active NPI

Therapeutic Residential Services, Inc

  • Assisted Living Facility
  • Clovis, CA
National Provider Identifier
1992028740
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
107203505 Issued in CA
Legal business name
THERAPEUTIC RESIDENTIAL SERVICES, INC
Practice address
175 W Sierra Ave
Clovis, CA 93612-0283
Phone
(559) 299-5579
Fax
(559) 299-2542
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Dr. Harmesh Kumar, PHD
Title
President
Phone
(925) 285-9881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 107203505 CA Primary

Addresses

Primary practice location

175 W Sierra Ave
Clovis, CA 93612-0283

Mailing address

2249 Pacheco St
Concord, CA 94520-2015
Phone (925) 356-0122

Other names 1

  • Sierra Villa Assisted Living Doing business as

National Provider Directory

National Provider Directory

Locations

175 W Sierra Ave
Clovis, CA 93612
Phone (559) 299-5579

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1992028740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 PACHECO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202015",
            "telephone_number": "925-356-0122",
            "fax_number": "925-356-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W SIERRA AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120283",
            "telephone_number": "559-299-5579",
            "fax_number": "559-299-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC RESIDENTIAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "HARMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-285-9881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "107203505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Villa Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.