Provider Demographics
NPI:1366828766
Name:TWILIGHT HOMES, INC.
Entity Type:Organization
Organization Name:TWILIGHT HOMES, INC.
Other - Org Name:GREEN VILLA RCFE/SUNNY GARDEN RCFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/LICENSEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY JANE
Authorized Official - Middle Name:SUNGA
Authorized Official - Last Name:ANDRES
Authorized Official - Suffix:
Authorized Official - Credentials:CLS
Authorized Official - Phone:559-916-3658
Mailing Address - Street 1:5539 N BRENT AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93723-7658
Mailing Address - Country:US
Mailing Address - Phone:559-276-2696
Mailing Address - Fax:559-275-3046
Practice Address - Street 1:1463 W SIERRA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-1906
Practice Address - Country:US
Practice Address - Phone:559-439-5760
Practice Address - Fax:559-275-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107206562310400000X
CA107206561310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility