HIS DAUGHTERS HOUSE (NPI# 1578025102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578025102 |
| Entity Type | Organization |
| Organization Name | HIS DAUGHTERS HOUSE |
| Practice Address |
10411 Hole Ave Riverside CA 92505-1617 |
| Mailing Address |
3870 La Sierra Ave # 204 Riverside CA 92505-3528 |
| Practice Telephone | 4242886997 |
| Mailing Telephone | 4242886997 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | ADRIANNE MASON (CEO) |
| Authorized Official Telephone | 4242886997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 305S00000X | Point of Service | Managed Care Organizations | ||
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| N | 332U00000X | Home Delivered Meals | Suppliers | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 177F00000X | Lodging | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NOT APPLICABLE | 0000000 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4273 Lakefall Ct, Riverside, CA 925053459 | 4242886997 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HIS DAUGHTERS HOUSE | 4273 Lakefall Ct, Riverside, CA 92505-3459 |
| New York State Corporations | HIS DAUGHTERS HOUSE OUTREACH MINISTRIES INC. | 45 John Street Suite 711, New York, Ny 10038 |
| Street Address |
10411 HOLE AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499912 | California Manor Guest Home | Lodging | 8536 California Ave, Riverside, CA 92504-2854 | 2018-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526944 | Family House, Inc. | Lodging | 540 Mission Bay Blvd N, San Francisco, CA 94158-2382 | 2020-10-22 |
| 1548887755 | Comfortmavens Group, Inc. | Lodging | 2307 W 231st St, Torrance, CA 90501-5214 | 2020-07-03 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1447882782 | Golden State Recuperative Care, Inc. | Lodging | 153 E. 110th St, Los Angeles, CA 90061 | 2020-02-05 |
| 1235610551 | Lilibeth Swanson | Lodging | 720 N Linden Ave, Rialto, CA 92376-4635 | 2018-08-24 |
| 1881188662 | Vermontcare Center | Lodging | 1316 S Vermont, Los Angeles, CA 90006-4502 | 2018-06-15 |
| 1871097154 | Love Home Inc. | Lodging | 1731 W 58th St, Los Angeles, CA 90062-2739 | 2018-03-21 |
| 1093219545 | Love Home Inc. | Lodging | 1729 W 58th St, Los Angeles, CA 90062-2739 | 2018-03-20 |
| 1093229882 | Contra Costa County | Lodging | 845b Brookside Dr, Richmond, CA 94801-1310 | 2017-12-01 |
| 1467966259 | Contra Costa County | Lodging | 847 Brookside Dr Ste C, Richmond, CA 94801-1314 | 2017-12-01 |
| Find all providers with the same taxonomy | ||||
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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.