ETERNITY MIMIKO VENEY (NPI# 1821635053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821635053 |
| Entity Type | Individual |
| Full Name | ETERNITY MIMIKO VENEY |
| Practice Address |
572 N Arrowhead Ave San Bernardino CA 92401-1251 |
| Practice Telephone | 9092662700 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
572 N ARROWHEAD AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92401-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396870556 | Kenneth Lillard | Counselor | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2007-02-21 |
| 1316545965 | Rachel Jeanette Lomeli | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-10-15 |
| 1033722434 | Marjorie Fabiola Rendon | Student in an Organized Health Care Education/Training Program | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-08-25 |
| 1093336356 | Adrienne Denise Green | Community Health Worker | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-04-28 |
| 1245861483 | Matthew Duncan | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-01-27 |
| 1629608229 | Anthony Manuel Paez | Counselor | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-01-22 |
| 1275163917 | Dyanna Llamas | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2020-01-22 |
| 1174160436 | Juan Jose Miranda | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2019-12-05 |
| 1417503525 | Yessica Iturbide | Counselor | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2019-08-14 |
| 1114572252 | Karen Ordorica | Case Manager/Care Coordinator | 572 N Arrowhead Ave, San Bernardino, CA 92401-1251 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885468 | Eagles Wings Hospice, LLC | Hospice Care, Community Based | 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 | 2020-09-09 |
| 1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
| 1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| 1811342132 | Maria Teresa Rodriguez Cortes | Counselor | 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 | 2016-04-25 |
| 1841603339 | Kelly Michelle Cottingham | Licensed Practical Nurse | 350 W. Fifth Street, Suite 212, San Bernardino, CA 92401 | 2014-06-03 |
| 1558781245 | Desiree Inez Harris | Counselor | 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 | 2014-04-21 |
| 1194159970 | Sabrina Shrita Thakur | Marriage & Family Therapist | 572 N Arrowhead, San Bernardino, CA 92401 | 2013-08-28 |
| 1770845497 | Youths' Hope Licensed Clinical Social Worker Inc | Counselor | 255 N. D Street, Suite 400, San Bernardino, CA 92401 | 2012-06-08 |
| 1235461427 | Erin Nicole Stines | Recreation Therapist | 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 | 2010-02-12 |
| Find all providers in zip 92401 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935492 | Julian Ellison | Case Manager/Care Coordinator | 303 E Vandebilt Way, San Bernardino, CA 92415-0001 | 2020-09-03 |
| 1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1528523065 | Leslie Gonzalez | Case Manager/Care Coordinator | 1982 W 18th St, San Bernardino, CA 92411-1059 | 2019-02-08 |
| 1326520057 | Cynthia Gutierrez | Case Manager/Care Coordinator | 237 E. Mill St., San Bernardino, CA 92408 | 2018-08-29 |
| 1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
| 1558841197 | Yvette Hinton | Case Manager/Care Coordinator | 431 Mackay Drive, San Bernardino, CA 92408 | 2018-08-14 |
| 1326557026 | Ruben Grajeda | Case Manager/Care Coordinator | 3561 N F St, San Bernardino, CA 92405-2120 | 2017-09-25 |
| 1225553472 | Nicole Dela Cruz | Case Manager/Care Coordinator | 720 E Gilbert Street, San Bernardino, CA 92415-0001 | 2017-08-09 |
| 1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92401 |
Please comment or provide details below to improve the information on ETERNITY MIMIKO VENEY.
| 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.