Healthcare Provider Details
I. General information
NPI: 1770491078
Provider Name (Legal Business Name): AMATA'S LOVING & CARE HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5667 N TRACY AVE
FRESNO CA
93722-2570
US
IV. Provider business mailing address
5667 N TRACY AVE
FRESNO CA
93722-2570
US
V. Phone/Fax
- Phone: 559-612-0311
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RITA
SARKISYAN
Title or Position: CEO
Credential:
Phone: 559-612-0311