EMINENCE HEALTHCARE, INC (NPI# 1881060242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881060242 |
| Entity Type | Organization |
| Organization Name | EMINENCE HEALTHCARE, INC |
| Practice Address |
7485 N Palm Ave Suite 103 Fresno CA 93711-5764 |
| Mailing Address |
Po Box 27707 Fresno CA 93729-7707 |
| Practice Telephone | 5599452204 |
| Mailing Telephone | 5592218100 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-10-02 |
| Authorized Official Name | JUAN GARZA II (CHIEF OPERATING OFFICER) |
| 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 |
|---|---|---|---|---|
| 1609273754 | Eminence Healthcare, Inc | Clinic/Center | 22620 Wahtoke Ave, Rooms 5,9,17, Reedley, CA 93654-9604 | 2014-12-04 |
| Street Address |
7485 N PALM AVE SUITE 103 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-5764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649661778 | Amanda Lynn Holland | Counselor | 7485 N Palm Ave, Suite 103, Fresno, CA 93711-5764 | 2015-02-11 |
| 1396228300 | Liliana C Lopez | Counselor | 7485 N Palm Ave, Fresno, CA 93711-5764 | 2018-09-14 |
| 1730669334 | Lisha Noriega | Counselor | 7485 N Palm Ave, Fresno, CA 93711-5764 | 2018-08-14 |
| 1730669342 | Tashon Smallwood | Counselor | 7485 N Palm Ave, Fresno, CA 93711-5764 | 2018-08-14 |
| 1710488853 | Xochitl Ramirez | Counselor | 7485 N Palm Ave, Fresno, CA 93711-5764 | 2018-02-23 |
| 1558860270 | David Holman- Hernandez | Counselor | 7485 N Palm Ave, Fresno, CA 93711-5764 | 2018-02-08 |
| 1770006470 | Anna Mae Harvey | Counselor | 7485 N Palm Ave, #103, Fresno, CA 93711 | 2017-07-25 |
| 1306385307 | Nicole Avina | Counselor | 7485 N Palm Ave, 7485 N. Palm Ave. Suite 103, Fresno, CA 93711-5764 | 2017-02-23 |
| 1669921987 | Gil Torres | Counselor | 7485 N Palm Ave, Fresno, CA 93711-5764 | 2016-09-28 |
| 1306393608 | Selena M Ortiz | Counselor | 7485 N Palm Ave, Fresno, CA 93711-5764 | 2016-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558925909 | Aspire Counseling Services | Clinic/Center | 7125 N Chestnut Ave Ste 104, Fresno, CA 93720-0358 | 2019-04-30 |
| 1437641479 | Spirit of Woman of Ca, Inc. | Clinic/Center | 327 W Belmont Ave, Fresno, CA 93728-2801 | 2018-06-05 |
| 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 |
| 1497158737 | Westcare California, Inc | Clinic/Center | 1127 E Escalon, Ahwahnee Middle School, Fresno, CA 93710 | 2014-10-01 |
| 1457606972 | Westcare California Inc. | Clinic/Center | 808 S 10th St, Fresno, CA 93702-3506 | 2012-07-20 |
| 1952673352 | Westcare California | Clinic/Center | 1702 E Bullard Ave Ste 103, Fresno, CA 93710-5800 | 2012-01-31 |
| 1982846986 | Eminence Healthcare Services, LLC | Clinic/Center | 855 W Nielsen Ave, Rooms 1, 2, 3, 5, Fresno, CA 93706-1700 | 2009-04-06 |
| 1295972446 | Central California Recovery | Clinic/Center | 1204 W Shaw Ave #102, Fresno, CA 93711-3706 | 2009-01-09 |
| 1700038130 | Eminence Healthcare Services, LLC | Clinic/Center | 4055 N Bryan Ave, Fresno, CA 93723-9426 | 2008-10-16 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on EMINENCE HEALTHCARE, INC.
| 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.