Provider Demographics
NPI:1578933149
Name:PROFESSIONAL HEALTHCARE GROUP INC
Entity type:Organization
Organization Name:PROFESSIONAL HEALTHCARE GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-753-8181
Mailing Address - Street 1:5100 N 6TH ST STE 155
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-7516
Mailing Address - Country:US
Mailing Address - Phone:559-753-8181
Mailing Address - Fax:559-570-0117
Practice Address - Street 1:5100 N 6TH ST STE 155
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-7516
Practice Address - Country:US
Practice Address - Phone:559-753-8181
Practice Address - Fax:559-570-0117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-25
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health