MAIN SOURCE MEDICAL LLC
NPI 1801628680
Nursing Care in Fresno, CA

Q: What is Main Source Medical LLC's NPI number?

The NPI number for Main Source Medical LLC is 1801628680. It was assigned to this organization in the NPPES registry on August 19, 2024.

Q: What is Main Source Medical LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Active since August 19, 2024

2155 E TRENTON AVE, FRESNO, CA 93720(805) 453-0191 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Main Source Medical Llc NPPES

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

MAIN SOURCE MEDICAL LLC (NPI 1801628680) is a healthcare organization registered as a nursing care in Fresno, California and active in the NPI registry since August 2024. The organization lists Sandra Denise Ibrahim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801628680

Entity TypeOrganization

Primary Taxonomy251J00000X

Legal Business NameMAIN SOURCE MEDICAL LLC

Location Address2155 E TRENTON AVEFresno, CA 93720-3924

Mailing Address2155 E Trenton AveFresno, CA 93720-3924 · (805) 453-0191

Phone(805) 453-0191

Organization SubpartNo

Authorized OfficialSandra Denise IbrahimCeo · (800) 601-6571

Enumeration DateAugust 19, 2024

NPPES CertifiedAugust 19, 2024

✔ NPI 1801628680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing CareAgencies

Taxonomy Code251J00000X

Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

2155 E TRENTON AVE, Fresno, CA 93720

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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 Main Source Medical LLC's NPI number?

The NPI number for Main Source Medical LLC is 1801628680. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Main Source Medical LLC located?

Main Source Medical LLC is located at 2155 E Trenton Ave, Fresno, CA 93720. The listed phone number is (805) 453-0191.

What is Main Source Medical LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Main Source Medical LLC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.