EARL DALE FAIN (NPI# 1740814797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740814797 |
Entity Type | Individual |
Full Name | EARL DALE FAIN |
Practice Address |
39990 Faure Rd Hemet CA 92544-9408 |
Practice Telephone | 9517084019 |
Mailing Telephone | 9517084019 |
Enumeration Date | 2020-02-28 |
Last Update Date | 2020-02-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RA9110918 | CA | Behavioral Health & Social Service Providers |
Street Address |
39990 FAURE RD |
City | HEMET |
State | CA |
Zip Code | 92544-9408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679635221 | Angela Kay Williams | Psychiatry & Neurology | 39990 Faure Rd, Hemet, CA 92544 | 2006-12-13 |
1992335442 | Kufreabasi Idiong | Social Worker | 39990 Faure Rd, Hemet, CA 92544-9408 | 2020-01-23 |
1164060539 | Adele Marie Yuth | Counselor | 39990 Faure Rd, Hemet, CA 92544-9408 | 2019-12-17 |
1780057521 | Dhhs Ihs Cao Desert Sage Youth Wellness Center | Substance Abuse Rehabilitation Facility | 39990 Faure Rd, Hemet, CA 92544-9408 | 2015-11-02 |
1821487497 | Pamela Enjema Mokoko | Nurse Practitioner | 39990 Faure Rd, Hemet, CA 92544-9408 | 2015-01-20 |
1710309984 | Anna Knight | Nurse Practitioner | 39990 Faure Rd, Hemet, CA 92544-9408 | 2014-01-07 |
1942622113 | Pascale Brown | Social Worker | 39990 Faure Rd, Hemet, CA 92544-9408 | 2014-01-07 |
1255778981 | Angela C Mcclendon | Social Worker | 39990 Faure Rd, Hemet, CA 92544-9408 | 2013-06-04 |
1174808042 | Adeline Aranaydo Menendez | Counselor | 39990 Faure Rd, Hemet, CA 92544-9408 | 2011-10-11 |
1538496948 | Emily Lavern Streeter | Psychologist | 39990 Faure Rd, Hemet, CA 92544-9408 | 2009-11-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881164408 | Felix Pelarada Olarita Jr. | Physical Therapist | 41255 Crest Drive, Hemet, CA 92544 | 2018-11-27 |
1124453055 | Apex Healthcare Medical Center Inc | Internal Medicine | 2390 E. Florida Ave, Suite 105, Hemet, CA 92544 | 2013-09-11 |
1134476062 | Renee Luhrs Macdonald | Counselor | 3990 Faure Rd, Hemet, CA 92544 | 2012-08-09 |
1427223916 | Mark Dwayne Dykes | Military Health Care Provider | 700 Colorado Dr, Hemet, CA 92544 | 2008-04-25 |
1487825691 | Jody A Balboa | Marriage & Family Therapist | 541 N. San Jacinto Ave, Hemet, CA 92544 | 2008-03-14 |
1528246964 | Newport Audiology Centers | Hearing Aid Equipment | 1600 East Florida Ave #312, Hemet, CA 92544 | 2008-02-07 |
1730212036 | Welch's Shoe Repair | Prosthetic/Orthotic Supplier | 41819 E Florida Ave, Hemet, CA 92544 | 2007-03-14 |
1548238702 | Devonshire Care Center, LLC | Skilled Nursing Facility | 1350 E Devonshire Ave, Hemet, CA 92544 | 2006-03-14 |
1669755153 | Amir Rahnavard | Internal Medicine | 1600 E Florida Ave Ste 103, Hemet, CA 92544 | 2011-09-21 |
1053401802 | Marianne Tahl | Allergy & Immunology | 2390 E Florida Ave, Suite #101, Hemet, CA 92544 | 2006-10-13 |
Find all providers in zip 92544 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881117547 | Saira Gonzalez | Counselor | 950 N State St Ste E, Hemet, CA 92543-1485 | 2017-07-24 |
1922533561 | Krysta Jean Young | Counselor | 1400 E Menlo Ave Spc 37, Hemet, CA 92544-3138 | 2017-04-20 |
1386069276 | Preston Bryant | Counselor | 640 N San Jacinto St Ste A, Hemet, CA 92543-3188 | 2014-02-28 |
1952651457 | Suzette Ree Reynolds | Counselor | 950 N. State St. Suite D, Hemet, CA 92543-1402 | 2012-09-12 |
1114293396 | Spirit and Truth Counseling Center | Counselor | 640 N San Jacinto St, Suite A, Hemet, CA 92543-3188 | 2012-04-01 |
1770864936 | Lisa Marie Godoy | Counselor | 650 N State St Ste D, Hemet, CA 92543-1485 | 2011-09-01 |
1932331576 | Sun Ray Addictions Counseling & Education, Inc. | Counselor | 950 N State St Ste D, Hemet, CA 92543-1485 | 2009-08-16 |
1861634404 | Lynne M Filippini | Counselor | 960 N State St, Suite #b, Hemet, CA 92543-1400 | 2009-03-27 |
1205011251 | David Mayo | Counselor | 40329 Stetson Ave, Hemet, CA 92544-7358 | 2008-01-08 |
1417140237 | Paula Bester | Counselor | 601 E Florida Ave, Hemet, CA 92543-4335 | 2007-08-24 |
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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.