Healthcare Provider Details

I. General information

NPI: 1447899786
Provider Name (Legal Business Name): QUALITY GROUP HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2020
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4862 E CLINTON AVE
FRESNO CA
93703-2873
US

IV. Provider business mailing address

4928 E CLINTON WAY STE 108
FRESNO CA
93727-1526
US

V. Phone/Fax

Practice location:
  • Phone: 559-252-2450
  • Fax:
Mailing address:
  • Phone: 559-252-6844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. VALERIE J CURLEY
Title or Position: RESEARCH COORDINATOR
Credential:
Phone: 559-252-6844