SUNNY J CARE HOME LLC
NPI 1386034783
Nursing Facility/Intermediate Care Facility in Fresno, CA
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 05D2308994
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 08-06-2026
About SUNNY J CARE HOME LLC
This page provides the complete NPI Profile along with additional information for Sunny J Care Home Llc, a provider established in Fresno, California operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1386034783 assigned on January 2015. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Miss Jellaine Renee Hinunangan (Administrator)
- NPI
- 1386034783 Verify this NPI
- Provider Name
- SUNNY J CARE HOME LLC
- Entity Type
- Organization
- Location Address
- 6127 E TOWNSEND AVE FRESNO, CA 93727
- Location Phone
- (155) 938-5543
- Mailing Address
- 6714 E ORLEANS AVE FRESNO, CA 93727
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2015
- Last Update Date
- 01-23-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2308994
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- August 07, 2024
- Certificate Expiration Date
- August 06, 2026
- Laboratory Director
- MARK BRYAN G. TING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sunny J Care Home Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386034783, enumerated as an "organization" on January 23, 2015.
The provider is located at 6127 E TOWNSEND AVE FRESNO, CA 93727 and the phone number is (155) 938-5543.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
