2ND HOME INC.-SAMPLE FACILITY – NPI #1144950080
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2ND HOME INC.-SAMPLE FACILITY is a community based residential treatment facility located in CLOVIS, CA. NPPES has assigned the NPI number 1144950080 to 2ND HOME INC.-SAMPLE FACILITY on June 14, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “2ND HOME INC.-SAMPLE FACILITY” is a dba name, the actual legal business name for this organization is 2ND HOME INCORPORATED. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 4 years ago on Jun 29, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 2ND HOME INC.-SAMPLE FACILITY below.

NPI Profile for
2ND HOME INCORPORATED

NPI Number
1144950080
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
2ND HOME INCORPORATED
Doing Business As (dba): 2ND HOME INC.-SAMPLE FACILITY
Primary location
2361 SAMPLE AVE
CLOVIS, CA 93611-5425
Phone: (559) 323-4502 Fax:
Mailing address
1187 N WILLOW AVE STE 103
CLOVIS, CA 93611-4411
Phone: (559) 790-2271 Fax:
Organization Subpart
No
Authorized Official
JENNIFER FISH
DIRECTOR
Phone: (559) 790-2271
Updated
Certification Date
Jun 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.