Provider Demographics
NPI:1194493015
Name:CLEARVIEW RETIREMENT GROUP
Entity type:Organization
Organization Name:CLEARVIEW RETIREMENT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LA SHAY
Authorized Official - Middle Name:
Authorized Official - Last Name:AYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-977-4232
Mailing Address - Street 1:232 OMAHA AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-7617
Mailing Address - Country:US
Mailing Address - Phone:559-977-4232
Mailing Address - Fax:559-326-7891
Practice Address - Street 1:2657 E SKYVIEW AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-4428
Practice Address - Country:US
Practice Address - Phone:559-297-0475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA107206813OtherRCFE LICENSE