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MODESTO GOSPEL MISSION
NPI 1720796907
Lodging in Modesto, CA

Active since November 07, 2022
1400 YOSEMITE BLVD, MODESTO, CA 95354(209) 529-8259 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Modesto Gospel Mission NPPES

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

MODESTO GOSPEL MISSION (NPI 1720796907) is a healthcare organization registered as a lodging in Modesto, California and active in the NPI registry since November 2022. The organization lists Jason Allen Conway, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720796907
Entity TypeOrganization
Primary Taxonomy177F00000X
Legal Business NameMODESTO GOSPEL MISSION
Location Address1400 YOSEMITE BLVDModesto, CA 95354-2840
Mailing AddressPo Box 1203Modesto, CA 95353-1203 · (529) 225-2905 · Fax (209) 529-3450
Phone(209) 529-8259
Organization SubpartNo
Authorized OfficialJason Allen ConwayCeo · (209) 225-2905
Enumeration DateNovember 7, 2022
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1720796907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
Definition

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Also ListedCase ManagementTaxonomy 251B00000X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedReligious Nonmedical Health Care InstitutionTaxonomy 282J00000X
Also ListedRespite CareTaxonomy 385H00000X
1400 YOSEMITE BLVD, Modesto, CA 95354
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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 Modesto Gospel Mission's NPI number?

The NPI number for Modesto Gospel Mission is 1720796907. It was assigned to this organization in the NPPES registry on November 7, 2022.

Where is Modesto Gospel Mission located?

Modesto Gospel Mission is located at 1400 Yosemite Blvd, Modesto, CA 95354. The listed phone number is (209) 529-8259.

What is Modesto Gospel Mission's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

When was this NPI record last updated?

The NPPES record for Modesto Gospel Mission was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.