Healthcare Provider Details

I. General information

NPI: 1992858591
Provider Name (Legal Business Name): NOIA RESIDENTIAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 E ALMENDRA
FRESNO CA
93710
US

IV. Provider business mailing address

606 E BELMONT AVE
FRESNO CA
93701-1527
US

V. Phone/Fax

Practice location:
  • Phone: 559-449-9226
  • Fax: 559-449-9226
Mailing address:
  • Phone: 559-485-5555
  • Fax: 559-485-8919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number040000234
License Number StateCA

VIII. Authorized Official

Name: LUCIA E NOIA
Title or Position: OWNER/CEO
Credential:
Phone: 559-485-5555