Provider Demographics
NPI:1417300708
Name:FRESNO HOME CARE PROVIDERS INC
Entity Type:Organization
Organization Name:FRESNO HOME CARE PROVIDERS INC
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:BRANGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MHL
Authorized Official - Phone:559-228-8918
Mailing Address - Street 1:5550 N PALM AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-1913
Mailing Address - Country:US
Mailing Address - Phone:559-228-8918
Mailing Address - Fax:559-228-3238
Practice Address - Street 1:5550 N PALM AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-1913
Practice Address - Country:US
Practice Address - Phone:559-228-8918
Practice Address - Fax:559-228-3238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1047000001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health