Provider Demographics
NPI:1851560916
Name:LAVANG CARE HOMES
Entity Type:Organization
Organization Name:LAVANG CARE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:PALLANAN
Authorized Official - Last Name:BAUTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:559-704-6796
Mailing Address - Street 1:2557 E GOSHEN AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0503
Mailing Address - Country:US
Mailing Address - Phone:559-578-6624
Mailing Address - Fax:800-496-0381
Practice Address - Street 1:4644 N BARCUS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-8656
Practice Address - Country:US
Practice Address - Phone:559-515-6823
Practice Address - Fax:800-496-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities