MY BROTHER'S KEEPER (NPI# 1144550971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144550971 |
| Entity Type | Organization |
| Organization Name | MY BROTHER'S KEEPER |
| Other Organization Name | SERENITY OUTREACH |
| Practice Address |
5511 Riverside Dr Chino CA 91710-4302 |
| Practice Telephone | 9094640400 |
| Practice Fax Number | 9094640433 |
| Mailing Telephone | 9094640400 |
| Mailing Fax Number | 9094640433 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |
| Authorized Official Name | TANISHA WILLIAMS (CFO/ DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 9094640400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Serenity Outreach | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | My Brother's Keeper | 1334 Chambers Drive, Colorado Springs, CO 80904 |
| Alabama Business Registrations | My Brother's Keeper | 697 E Burdeshaw St, Dothan, AL 36301 |
| New York State Corporations | MY BROTHER'S KEEPER BENEVOLENT SOCIETY INC. | Hc75-951, Greene, Ny 13778 |
| New York State Corporations | MY BROTHER'S KEEPER FIRE TRAINING, LLC | 45 Peak Avenue, Glens Falls, New York 12801 |
| Colorado Business Entities | MY BROTHER'S KEEPER FOUNDATION | 20691 E Scott Circle, Denver, CO 80249 |
| Virginia Business Entities | My Brother's Keeper Foundation Inc. | 3221 Virginia Ln, Danville, Virginia 24540 |
| Oregon Corporations, Companies and Business Names | MY BROTHER'S KEEPER INC. | 10239 Ne Clackamas St, Portland, OR 97220 |
| Colorado Business Entities | My Brother's Keeper Inc. | 309 West Orman Ave, Pueblo, CO 81004 |
| Virginia Business Entities | My Brother's Keeper L.L.C. | 497 Albrough Blvd, Colonial Beach, Virginia 22443 |
| Colorado Business Entities | My Brother's Keeper LLC | 3604 Monaco Pkwy, Denver, CO 80207 |
| Street Address |
5511 RIVERSIDE DR |
| City | CHINO |
| State | CA |
| Zip Code | 91710-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609232685 | Harmony Hearts Homecare LLC | In Home Supportive Care | 5511 Riverside Dr, Chino, CA 91710-4302 | 2016-01-06 |
| 1013232677 | Barrett Muntiel | Counselor | 5511 Riverside Dr, Chino, CA 91710-4302 | 2010-04-07 |
| 1851616411 | William Berlango | Counselor | 5511 Riverside Dr, Chino, CA 91710-4302 | 2010-04-06 |
| 1346565199 | Warren G Sayers | Counselor | 5511 Riverside Dr, Chino, CA 91710-4302 | 2010-04-05 |
| 1154646909 | Lee Singleton | Counselor | 5511 Riverside Dr, Chino, CA 91710-4302 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570227 | Roy Carranza | Counselor | 16397 East Preserve Loop, 1862, Chino, CA 91708 | 2020-05-27 |
| 1235482811 | Irma Marmolejo | Counselor | 4340 Wilson St, Chino, CA 91710-3233 | 2012-10-19 |
| 1215178611 | Doris Young | Counselor | 5389 Riverside Dr, Chino, CA 91710-4252 | 2009-03-13 |
| 1013232677 | Barrett Muntiel | Counselor | 5511 Riverside Dr, Chino, CA 91710-4302 | 2010-04-07 |
| 1851616411 | William Berlango | Counselor | 5511 Riverside Dr, Chino, CA 91710-4302 | 2010-04-06 |
| 1346565199 | Warren G Sayers | Counselor | 5511 Riverside Dr, Chino, CA 91710-4302 | 2010-04-05 |
| 1154646909 | Lee Singleton | Counselor | 5511 Riverside Dr, Chino, CA 91710-4302 | 2010-04-05 |
| 1366772915 | Angel Salgado | Counselor | 5389 Riverside Dr, Chino, CA 91710-4252 | 2010-01-04 |
| 1609105212 | Cynthia Felix | Counselor | 5389 Riverside Dr, Chino, CA 91710-4252 | 2009-12-10 |
| 1376879536 | Eric Rauda | Counselor | 5389 Riverside Dr, Chino, CA 91710-4252 | 2009-10-23 |
| Find all providers in CHINO | ||||
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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.