SAFE HARBOR RESIDENTIAL - FARGO
NPI 1710109814
Intermediate Care Facility, Intellectual Disabilities in Hanford, CA

Q: What is Safe Harbor Residential Services, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since May 02, 2007

143 W FARGO AVE, HANFORD, CA 93230(559) 582-6744(559) 584-8674 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Safe Harbor Residential - Fargo NPPES

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

SAFE HARBOR RESIDENTIAL - FARGO (NPI 1710109814) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Hanford, California and active in the NPI registry since May 2007. The organization lists Gwendolyn M. Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710109814

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameSAFE HARBOR RESIDENTIAL SERVICES, INC.

Location Address143 W FARGO AVEHanford, CA 93230-1359

Mailing AddressPo Box 163, 318-a E. 4th StreetHanford, CA 93232-0163 · (559) 589-6000 · Fax (559) 584-8674

Phone(559) 582-6744

Fax(559) 584-8674

Organization SubpartNo

Authorized OfficialGwendolyn M. SmithAdministrator · (559) 589-6000

Enumeration DateMay 2, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1710109814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

143 W FARGO AVE, Hanford, CA 93230

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Other Names 1

Other NameSafe Harbor Residential - Fargo

Other Identifiers 1

OtherLTC60522GCA · Medical Provider Number

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 Safe Harbor Residential Services, Inc.'s NPI number?

The NPI number for Safe Harbor Residential Services, Inc. is 1710109814. It was assigned to this organization in the NPPES registry on May 2, 2007. The provider is also known as Safe Harbor Residential - Fargo.

Where is Safe Harbor Residential Services, Inc. located?

Safe Harbor Residential Services, Inc. is located at 143 W Fargo Ave, Hanford, CA 93230. The listed phone number is (559) 582-6744.

What is Safe Harbor Residential Services, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Safe Harbor Residential Services, Inc. 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 5 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.