EMINENCE HEALTHCARE SERVICES, LLC (NPI# 1740479559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740479559 |
Entity Type | Organization |
Organization Name | EMINENCE HEALTHCARE SERVICES, LLC |
Practice Address |
900 S Newmark Ave Room 5 Parlier CA 93648-2034 |
Mailing Address |
Po Box 27707 Fresno CA 93729-7707 |
Practice Telephone | 5592218100 |
Practice Fax Number | 5592218101 |
Mailing Telephone | 5592218100 |
Mailing Fax Number | 5592218101 |
Enumeration Date | 2007-10-17 |
Last Update Date | 2017-09-21 |
Authorized Official Name | MR. JUAN GARZA II (CEO/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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDI-CAL | 101076 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528599792 | Eminence Healthcare Services, LLC | Clinic/Center | 4250 E Tulare St, Fresno, CA 93702-3037 | 2017-03-21 |
1629519871 | Eminence Healthcare Services, LLC | Clinic/Center | 4330 E Garland Ave, Fresno, CA 93726-6102 | 2017-03-20 |
1750752879 | Eminence Healthcare Services, LLC | Clinic/Center | 16673 Palmer Ave, Rooms 1, 2, 3, 4, 5, Huron, CA 93234-1090 | 2015-10-15 |
1922478734 | Eminence Healthcare Services, LLC | Clinic/Center | 13883 S Lassen Ave, Rooms 1 & 2, Helm, CA 93627-9900 | 2015-10-06 |
1568844041 | Eminence Healthcare Services, LLC | Clinic/Center | 707 Letts Ave, Rooms B1, B3 1/2, Corcoran, CA 93212-1753 | 2015-06-22 |
1538540521 | Eminence Healthcare Services, LLC | Clinic/Center | 1100 Letts Ave, Rooms 4, 7, Sc4, Corcoran, CA 93212-2520 | 2015-06-15 |
1306227954 | Eminence Healthcare Services, LLC | Clinic/Center | 701 General Petroleum Avenue, Rooms 13, 17, 18, Kettleman City, CA 93239-0599 | 2015-06-09 |
1205224110 | Eminence Healthcare Services, LLC | Clinic/Center | 205 S 1st St, Kerman, CA 93630-1001 | 2014-12-30 |
1154729382 | Eminence Healthcare Services, LLC | Clinic/Center | 877 E North Ave, Room 2, Reedley, CA 93654-2566 | 2014-12-22 |
1821224650 | Eminence Healthcare Services, LLC | Clinic/Center | 608 N 1st Ave, Room 21, Avenal, CA 93204-1071 | 2009-06-08 |
Street Address |
900 S NEWMARK AVE ROOM 5 |
City | PARLIER |
State | CA |
Zip Code | 93648-2034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992843379 | Parlier Unified School District | Local Education Agency (LEA) | 900 S Newmark Ave, Parlier, CA 93648-2034 | 2007-02-01 |
1235392440 | Promesa Behavioral Health | Community/Behavioral Health | 900 S Newmark Ave, Parlier, CA 93648-2034 | 2008-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013024132 | Imgrx Sj Valley | Pharmacy | 650 Zediker Avenue, Parlier, CA 93648 | 2006-08-24 |
1407967821 | Mabodawilage Ganga Hematillake | Internal Medicine | 650 S Zediker Ave, Parlier, CA 93648 | 2006-08-31 |
1457724924 | United Health Centers of The San Joaquin Valley | Clinic/Center | 601 3rd St, Parlier, CA 93648-2028 | 2015-11-05 |
1952685927 | Roberto Morales | Counselor | 601 3rd St, Parlier, CA 93648-2028 | 2011-10-07 |
1063675262 | Genesis Family Center | Community/Behavioral Health | 603 3rd St, Parlier, CA 93648-2028 | 2008-07-08 |
1053500710 | Eminence Healthcare Services, LLC | Clinic/Center | 603 3rd St, Rooms 25 & 26, Parlier, CA 93648-2028 | 2007-10-18 |
1174040661 | Antonia Rodriguez | Licensed Vocational Nurse | 8589 S De La Cruz St, Parlier, CA 93648-2128 | 2017-08-24 |
1356536056 | Ruby Quilantan | Counselor | 13574 E Cypress Ave, Parlier, CA 93648-2311 | 2007-09-06 |
1093337594 | Gardner Psychological Services, Inc. | Community/Behavioral Health | 13700 E Parlier Ave Ste C, Parlier, CA 93648-2421 | 2020-05-07 |
1750908190 | Angelica Duarte Cantu | Technician, Other | 1156 King St, Parlier, CA 93648-2475 | 2020-07-01 |
Find all providers in zip 93648 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134378623 | Eminence Healthcare Services, LLC | Clinic/Center | 1200 E Parlier Ave, Rm 1-16, 18, 19, 21, 28-30, Parlier, CA 93648-2493 | 2008-09-09 |
1053500710 | Eminence Healthcare Services, LLC | Clinic/Center | 603 3rd St, Rooms 25 & 26, Parlier, CA 93648-2028 | 2007-10-18 |
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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.