Twilight Haven

LBN: Twilight Haven
Twilight Haven is an health care organization with primary practice located at 1717 S Winery Ave , Fresno CA 93727-5011. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Twilight Haven can be contacted via phone (559) 251-8417, or through Bailey, Sharon D via phone (559) 251-8417.

Contact Information

Primary practice address
1717 S Winery Ave Fresno CA 93727-5011
Fax: (559) 251-1103
Website:
Authorized official contact:
Name: Bailey, Sharon D

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 100400622 California
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100490817 California

Profile Details

NPI number 1427057405
LBN Legal business name Twilight Haven
DBA Doing business as
Authorized official Bailey, Sharon D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated May 3rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427057405 NPPES
California MEDICAID ZZR05658F

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