CASA DE MODESTO RETIREMENT CENTER
NPI 1750388732
Skilled Nursing Facility in Modesto, CA

Active since July 05, 2005
1745 ELDENA WAY, MODESTO, CA 95350(209) 529-4950(209) 529-0957 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Casa De Modesto Retirement Center NPPES

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

CASA DE MODESTO RETIREMENT CENTER (NPI 1750388732) is a healthcare organization registered as a skilled nursing facility in Modesto, California and active in the NPI registry since July 2005. The organization lists Kelly Wiest, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1750388732
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFELLOWSHIP HOME, INC
Location Address1745 ELDENA WAYModesto, CA 95350-3568
Mailing Address1745 Eldena WayModesto, CA 95350-3568 · (209) 529-4950 · Fax (209) 529-0957
Fax(209) 529-0957
Organization SubpartNo
Authorized OfficialKelly WiestExecutive Director · (209) 529-4950
Enumeration DateJuly 5, 2005
Last NPPES UpdateDecember 7, 2016
NPI 1750388732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 100000019
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 500300107 (CA), 507000572 (CA), 507000573 (CA), 507000802 (CA)
1745 ELDENA WAY, Modesto, CA 95350

Other Names 1

Doing Business AsCasa De Modesto Retirement Center

Other Identifiers 2

Medicare OSCAR/certification555898CA
Medicaid05A047CA

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 Fellowship Home, Inc's NPI number?

The NPI number for Fellowship Home, Inc is 1750388732. It was assigned to this organization in the NPPES registry on July 5, 2005. The provider is doing business as Casa De Modesto Retirement Center.

Where is Fellowship Home, Inc located?

Fellowship Home, Inc is located at 1745 Eldena Way, Modesto, CA 95350. The listed phone number is (209) 529-4950.

What is Fellowship Home, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Fellowship Home, Inc was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.