CEDAR HOUSE
NPI 1598972622
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fresno, CA

Active since May 17, 2007CLIA 05D1080086 · Waiver
6384 N 10TH ST, FRESNO, CA 93710(559) 322-9305(559) 322-9882 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cedar House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDAR HOUSE (NPI 1598972622) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fresno, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Andrea Rengstorf, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1598972622
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameVALLEY CARE RESIDENTIAL
Location Address6384 N 10TH STFresno, CA 93710-5728
Mailing Address1903 E Fir Ave # 101Fresno, CA 93720-3842 · (559) 322-9305 · Fax (559) 322-9882
Fax(559) 322-9882
Organization SubpartNo
Authorized OfficialAndrea RengstorfTreasurer · (559) 322-9305
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1598972622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in CA · 55G566
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
6384 N 10TH ST, Fresno, CA 93710

Other Names 1

Other NameCedar House

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1080086

Cedar House · Fresno, CA
Active · expires Oct 26, 2026
CLIA Number05D1080086
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorDr. Asha Sidhu
Laboratory Phone(559) 322-9305
Laboratory LocationCedar House6384 N 10th St, Fresno, CA 93710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Care Residential's NPI number?

The NPI number for Valley Care Residential is 1598972622. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is also known as Cedar House.

Where is Valley Care Residential located?

Valley Care Residential is located at 6384 N 10th St, Fresno, CA 93710. The listed phone number is (559) 322-9305.

What is Valley Care Residential's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Valley Care Residential hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1080086) is associated with this NPI, valid through October 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley Care Residential was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.