Healthcare Provider Details
I. General information
NPI: 1902603244
Provider Name (Legal Business Name): BAINS BOARD AND CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/25/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5568 E CHRISTINE AVE
FRESNO CA
93727-6164
US
IV. Provider business mailing address
685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US
V. Phone/Fax
- Phone: 559-499-1233
- Fax:
- Phone: 559-499-1233
- Fax: 559-499-1233
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:
BALWINDER
BAINS
Title or Position: PRESIDENT
Credential:
Phone: 559-499-1233