Healthcare Provider Details

I. General information

NPI: 1376847814
Provider Name (Legal Business Name): XENCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2010
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 E WARNER AVE
FRESNO CA
93710-4530
US

IV. Provider business mailing address

PO BOX 27156
FRESNO CA
93729-7156
US

V. Phone/Fax

Practice location:
  • Phone: 559-434-1839
  • Fax: 559-434-2551
Mailing address:
  • Phone: 559-434-1839
  • Fax: 559-797-4494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number107204171
License Number StateCA

VIII. Authorized Official

Name: GEORGE KUTNERIAN
Title or Position: CEO
Credential:
Phone: 559-301-1393