Healthcare Provider Details

I. General information

NPI: 1659061448
Provider Name (Legal Business Name): RH COMMUNITY BUILDERS LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 02/21/2024
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 N BLACKSTONE AVE
FRESNO CA
93726-3808
US

IV. Provider business mailing address

PO BOX 9309
FRESNO CA
93791-9309
US

V. Phone/Fax

Practice location:
  • Phone: 559-492-1373
  • Fax:
Mailing address:
  • Phone: 559-492-1373
  • Fax: 559-223-2898

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 Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 9
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