PERRIS VALLEY RECOVERY PROGRAM, INC. (NPI# 1124123211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124123211 |
Entity Type | Organization |
Organization Name | PERRIS VALLEY RECOVERY PROGRAM, INC. |
Practice Address |
236 E 3rd St Suite B Perris CA 92570-2223 |
Practice Telephone | 9516572960 |
Practice Fax Number | 9519404600 |
Mailing Telephone | 9516572960 |
Mailing Fax Number | 9519404600 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | TINYA K HOLT (PRESIDENT/CEO) |
Authorized Official Telephone | 9516572960 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251B00000X | Case Management | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 3312 | 05 |
Street Address |
236 E 3RD ST SUITE B |
City | PERRIS |
State | CA |
Zip Code | 92570-2223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922388214 | Marva Margaret Bourne | Marriage & Family Therapist | 236 E 3rd St, Suite B, Perris, CA 92570-2260 | 2011-08-18 |
1285869024 | Quinell Stephens | Counselor | 236 E 3rd St, Suite B, Perris, CA 92570-2260 | 2009-05-22 |
1770717407 | Myisha Holt | Counselor | 236 E 3rd St, Suite B, Perris, CA 92570-2260 | 2009-05-09 |
1851415285 | Tinya Holt | Social Worker | 236 E 3rd St, Suite B, Perris, CA 92570-2223 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
Find all providers in zip 92570 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.