Portland House

LBN: Valley Care Residential
Portland House is an health care organization with primary practice located at 186 E Portland Ave , Fresno CA 93720-2081. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Valley Care Residential can be contacted via phone (559) 432-5025, or through Rengstorf, Andrea via phone (559) 322-9305.

Contact Information

Primary practice address
186 E Portland Ave Fresno CA 93720-2081
Phone: (559) 432-5025
Fax: (559) 431-6985
Website:
Map and Directions
Authorized official contact:
Name: Rengstorf, Andrea
Phone: (559) 322-9305

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X California

Profile Details

NPI number 1073649307
LBN Legal business name Valley Care Residential
DBA Doing business as Portland House
Authorized official Rengstorf, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1073649307 NPPES
California Other LTC80096G LONG TERM CARE PROVIDER

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