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NPI 1114173358ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Fresno, CA
Intermediate Care Facility, Intellectual Disabilities in Fresno, California, registered in NPPES in August 2008. The authorized official on file is Lee W. Shepherd, Owner.
Overview
| NPI | 1114173358 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2008 |
| Last updated in NPPES | Aug 7, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 040000491 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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