Healthcare Provider Details

I. General information

NPI: 1396613097
Provider Name (Legal Business Name): HIGHWAY CITY COMMUNITY DEVELOPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2025
Last Update Date: 10/25/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4718 N POLK AVE
FRESNO CA
93722-5318
US

IV. Provider business mailing address

4718 N POLK AVE
FRESNO CA
93722-5318
US

V. Phone/Fax

Practice location:
  • Phone: 559-578-8991
  • Fax:
Mailing address:
  • Phone: 559-578-8991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: APRIL HENRY
Title or Position: EXECUTIVE DIRECTOR/CEO
Credential:
Phone: 559-288-0856