Healthcare Provider Details

I. General information

NPI: 1184231508
Provider Name (Legal Business Name): RH COMMUNITY BUILDERS LP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 N PLEASANT AVENUE
FRESNO CA
93728-2434
US

IV. Provider business mailing address

2550 W CLINTON AVE UNIT 142
FRESNO CA
93705-4209
US

V. Phone/Fax

Practice location:
  • Phone: 559-899-0888
  • Fax:
Mailing address:
  • Phone: 585-314-3914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN WILBUR
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 559-492-1373