Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modesto Gospel Mission

Organization Lodging Provider · NPI 1720796907

Modesto Gospel Mission is a Lodging Provider in Modesto, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
6

Practice location Address checks out

1400 Yosemite Blvd
Modesto, CA 95354-2840
Phone: (209) 529-8259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lodging Provider (primary) Taxonomy 177F00000X
Case Management Agency Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Religious Nonmedical Health Care Institution Taxonomy 282J00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1720796907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Conway — Ceo · (209) 225-2905
NPI enumeratedNovember 7, 2022
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing addressPo Box 1203, Modesto, CA 95353-1203

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