Provider Demographics
NPI:1396963450
Name:WELCOME CARE HOMES INC
Entity type:Organization
Organization Name:WELCOME CARE HOMES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEHAM
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:559-299-4954
Mailing Address - Street 1:55 SHAW AVE
Mailing Address - Street 2:SUITE 122
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-3819
Mailing Address - Country:US
Mailing Address - Phone:559-299-4954
Mailing Address - Fax:559-299-0345
Practice Address - Street 1:5938 E SAGINAW WAY
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-7974
Practice Address - Country:US
Practice Address - Phone:559-299-4954
Practice Address - Fax:559-299-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA91517800A15041OtherKENNETH CHRISTENSON
CA90861149A65034OtherKATHLEEN WELLS
CA90777437A85034OtherJONI SHELDON