EMINENCE HEALTHCARE, INC. (NPI# 1356730444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356730444 |
| Entity Type | Organization |
| Organization Name | EMINENCE HEALTHCARE, INC. |
| Practice Address |
45077 Road 200 Room 305 O'neals CA 93645-0186 |
| Mailing Address |
Po Box 27707 Fresno CA 93729-7707 |
| Practice Telephone | 5598688689 |
| Mailing Telephone | 5592218100 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-07-01 |
| Authorized Official Name | JUAN GARZA II (COO/PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5592218100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417346370 | Eminence Healthcare, Inc. | Clinic/Center | 33030 Road 228, Room 5, North Fork, CA 93643-9694 | 2015-01-15 |
| 1770972705 | Eminence Healthcare, Inc. | Clinic/Center | 46655 Road 200, O'neals, CA 93645-0210 | 2015-01-14 |
| 1790174837 | Eminence Healthcare, Inc. | Clinic/Center | 33087 Road 228, Room 23, North Fork, CA 93643-9695 | 2015-01-13 |
| 1760615728 | Eminence Healthcare, Inc. | Clinic/Center | 305 E. C Street, Dixon, CA 95620-3000 | 2009-08-25 |
| 1508099565 | Eminence Healthcare, Inc. | Clinic/Center | 200 N. Lincoln Street, Dixon, CA 95620-3209 | 2009-08-25 |
| 1336371491 | Eminence Healthcare, Inc. | Clinic/Center | 555 College Way, Dixon, CA 95620-9301 | 2009-08-21 |
| 1083866412 | Eminence Healthcare, Inc. | Clinic/Center | 33326 Lodge Rd, Room 22, Tollhouse, CA 93667-9644 | 2008-10-16 |
| 1487805586 | Eminence Healthcare, Inc. | Clinic/Center | 33280 Lodge Rd, Room 4, Tollhouse, CA 93667-9643 | 2008-10-07 |
| 1043469539 | Eminence Healthcare, Inc. | Clinic/Center | 6240 W Palo Alto Ave, Rm 201, 301, 801-805, Fresno, CA 93722-2001 | 2008-09-09 |
| 1942479092 | Eminence Healthcare, Inc. | Clinic/Center | 599 Fifth Street, Mcfarland, CA 93250 | 2008-02-22 |
| Street Address |
45077 ROAD 200 ROOM 305 |
| City | O'NEALS |
| State | CA |
| Zip Code | 93645-0186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972705 | Eminence Healthcare, Inc. | Clinic/Center | 46655 Road 200, O'neals, CA 93645-0210 | 2015-01-14 |
| 1942859855 | Elizabeth Marie Larochelle | Technician | 48787 Road 200, O Neals, CA 93645-9709 | 2019-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972705 | Eminence Healthcare, Inc. | Clinic/Center | 46655 Road 200, O'neals, CA 93645-0210 | 2015-01-14 |
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972705 | Eminence Healthcare, Inc. | Clinic/Center | 46655 Road 200, O'neals, CA 93645-0210 | 2015-01-14 |
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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.