Healthcare Provider Details

I. General information

NPI: 1003603390
Provider Name (Legal Business Name): A PLUS ASSISTED LIVING SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5490 E BUTLER AVE
FRESNO CA
93727-5302
US

IV. Provider business mailing address

3816 N PEARWOOD AVE
FRESNO CA
93727-0812
US

V. Phone/Fax

Practice location:
  • Phone: 559-878-4155
  • Fax:
Mailing address:
  • Phone: 559-493-9141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. RAUL TIBURCIO
Title or Position: MANAGING PARTNER
Credential:
Phone: 559-493-9141