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NPI Code Detail

MEDICARE: OHANA CARE HOME CENTRAL VALLEY, LLC

MEDICARE: OHANA CARE HOME CENTRAL VALLEY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1376491027
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHANA CARE HOME CENTRAL VALLEY, LLC
Provider Business Mailing Address
First Line : 6952 E ANDREWS AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-9109
Country : US
Telephone Number : 559-862-9471
Fax Number : 559-475-9292
Provider Business Practice Location Address
First Line : 6952 E ANDREWS AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-9109
Country : US
Telephone Number : 559-862-9471
Fax Number : 559-475-9292
Authorized Official
Title or Position : CEO / OWNER
Name : DARWIN BARUELA
Credential :
Telephone Number : 559-862-9471
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “OHANA CARE HOME CENTRAL VALLEY, LLC ” Practice Location

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