Healthcare Provider Details

I. General information

NPI: 1578933149
Provider Name (Legal Business Name): PROFESSIONAL HEALTHCARE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2015
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 N 6TH ST STE 155
FRESNO CA
93710-7516
US

IV. Provider business mailing address

5100 N 6TH ST STE 155
FRESNO CA
93710-7516
US

V. Phone/Fax

Practice location:
  • Phone: 559-753-8181
  • Fax: 559-570-0117
Mailing address:
  • Phone: 559-753-8181
  • Fax: 559-570-0117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHERRY GARCIA
Title or Position: ADMINISTRATOR
Credential:
Phone: 559-753-8181