MEDICARE: WELCOME CARE HOMES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	91517800A15041	OTHER	CA	KENNETH CHRISTENSON
2	90861149A65034	OTHER	CA	KATHLEEN WELLS
3	90777437A85034	OTHER	CA	JONI SHELDON

General Provider Information

NPI Number	:	1396963450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELCOME CARE HOMES INC

Provider Business Mailing Address
First Line	:	55 SHAW AVE
Second Line	:	SUITE 122
City	:	CLOVIS
State	:	CA
Zip	:	93612-3819
Country	:	US
Telephone Number	:	559-299-4954
Fax Number	:	559-299-0345

Provider Business Practice Location Address
First Line	:	5938 E SAGINAW WAY
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-7974
Country	:	US
Telephone Number	:	559-299-4954
Fax Number	:	559-299-0345

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. MARTIN NEHAM
Credential	:	B.A.
Telephone Number	:	559-299-4954

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	04/11/2008

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Directions to “WELCOME CARE HOMES INC ” Practice Location

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