Healthcare Provider Details

I. General information

NPI: 1164856449
Provider Name (Legal Business Name): THERAPEUTIC RESIDENTIAL CARE SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N LILLIE AVE
DINUBA CA
93618-3636
US

IV. Provider business mailing address

550 N LILLIE AVE
DINUBA CA
93618-3636
US

V. Phone/Fax

Practice location:
  • Phone: 925-356-0122
  • Fax: 925-356-0124
Mailing address:
  • Phone: 559-607-1920
  • Fax: 925-356-0124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License NumberPSY16738
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: DR. HARMESH KUMAR
Title or Position: OWNER
Credential:
Phone: 559-607-1920