MEDICARE: LAVENDER FIELDS 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1558214569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAVENDER FIELDS CARE HOMES INC.

Provider Business Mailing Address
First Line	:	6152 W SCOTT AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93723-7666
Country	:	US
Telephone Number	:	559-916-3658
Fax Number	:

Provider Business Practice Location Address
First Line	:	6152 W SCOTT AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93723-7666
Country	:	US
Telephone Number	:	559-916-3658
Fax Number	:

Authorized Official
Title or Position	:	LICENSEE
Name	:	DONALEE ERFE
Credential	:
Telephone Number	:	559-916-3658

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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