Healthcare Provider Details

I. General information

NPI: 1376209973
Provider Name (Legal Business Name): RH COMMUNITY BUILDERS LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2021
Last Update Date: 02/21/2022
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S MOONEY BLVD
VISALIA CA
93277-4440
US

IV. Provider business mailing address

PO BOX 9309
FRESNO CA
93791-9309
US

V. Phone/Fax

Practice location:
  • Phone: 559-750-0150
  • Fax:
Mailing address:
  • Phone: 559-492-1373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN C WILBUR
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 559-492-1373