Provider Demographics
NPI:1538485461
Name:CENTRAL VALLEY CARE, INC.
Entity Type:Organization
Organization Name:CENTRAL VALLEY CARE, INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETRAY/GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-456-8064
Mailing Address - Street 1:1849 N HELM AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-1624
Mailing Address - Country:US
Mailing Address - Phone:559-456-8064
Mailing Address - Fax:559-456-8077
Practice Address - Street 1:1849 N HELM AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-1624
Practice Address - Country:US
Practice Address - Phone:559-456-8064
Practice Address - Fax:559-456-8077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care