Provider Demographics
NPI:1477939890
Name:AMG RESIDENTIAL CARE HOMES, INC
Entity Type:Organization
Organization Name:AMG RESIDENTIAL CARE HOMES, INC
Other - Org Name:THE GOLDEN YEARS RESIDENTIAL CARE HOME FOR THE ELDERLY/ RCHE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:559-250-1527
Mailing Address - Street 1:8647 N RICHELLE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5316
Mailing Address - Country:US
Mailing Address - Phone:559-250-1527
Mailing Address - Fax:559-275-1327
Practice Address - Street 1:8647 N RICHELLE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-5316
Practice Address - Country:US
Practice Address - Phone:559-250-1527
Practice Address - Fax:559-275-1327
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
CA107203212310400000X
CA107203439310400000X
CA107202451310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility