EMINENCE HEALTHCARE, INC. (NPI# 1942479092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942479092 |
| Entity Type | Organization |
| Organization Name | EMINENCE HEALTHCARE, INC. |
| Practice Address |
599 Fifth Street Mcfarland CA 93250 |
| Mailing Address |
7170 N. Financial Drive Suite 135 Fresno CA 93720-2978 |
| Practice Telephone | 5592218100 |
| Practice Fax Number | 5592218101 |
| Mailing Telephone | 5592218100 |
| Mailing Fax Number | 5592218101 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | MR. DONNIE JOSEPH ANDRADE (CEO) |
| Authorized Official Telephone | 5592218100 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMINENCE HEALTHCARE, INC. |
| 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 |
|---|---|---|---|---|
| 1417346370 | Eminence Healthcare, Inc. | Clinic/Center | 33030 Road 228, Room 5, North Fork, CA 93643-9694 | 2015-01-15 |
| 1770972705 | Eminence Healthcare, Inc. | Clinic/Center | 46655 Road 200, O'neals, CA 93645-0210 | 2015-01-14 |
| 1790174837 | Eminence Healthcare, Inc. | Clinic/Center | 33087 Road 228, Room 23, North Fork, CA 93643-9695 | 2015-01-13 |
| 1356730444 | Eminence Healthcare, Inc. | Clinic/Center | 45077 Road 200, Room 305, O'neals, CA 93645-0186 | 2015-01-13 |
| 1760615728 | Eminence Healthcare, Inc. | Clinic/Center | 305 E. C Street, Dixon, CA 95620-3000 | 2009-08-25 |
| 1508099565 | Eminence Healthcare, Inc. | Clinic/Center | 200 N. Lincoln Street, Dixon, CA 95620-3209 | 2009-08-25 |
| 1336371491 | Eminence Healthcare, Inc. | Clinic/Center | 555 College Way, Dixon, CA 95620-9301 | 2009-08-21 |
| 1083866412 | Eminence Healthcare, Inc. | Clinic/Center | 33326 Lodge Rd, Room 22, Tollhouse, CA 93667-9644 | 2008-10-16 |
| 1487805586 | Eminence Healthcare, Inc. | Clinic/Center | 33280 Lodge Rd, Room 4, Tollhouse, CA 93667-9643 | 2008-10-07 |
| 1043469539 | Eminence Healthcare, Inc. | Clinic/Center | 6240 W Palo Alto Ave, Rm 201, 301, 801-805, Fresno, CA 93722-2001 | 2008-09-09 |
| Street Address |
599 FIFTH STREET |
| City | MCFARLAND |
| State | CA |
| Zip Code | 93250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245681964 | Harshad S Patel | Pharmacist | 205 W. Kern Avenue, Mcfarland, CA 93250 | 2016-06-23 |
| 1811360332 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 150 West Kern Avenue, Mcfarland, CA 93250 | 2015-11-05 |
| 1225131675 | Manbir Singh | Internal Medicine | 733 3rd Street, Mcfarland, CA 93250 | 2006-09-07 |
| 1457621005 | Karla Crimmins | Licensed Practical Nurse | 29325 Kimberlina Road, Wasco, CALIFORNIA 93250 | 2012-01-12 |
| 1497052278 | Mcfarland Singh Medical Clinic, Inc. | Clinic/Center | 733 3rd St, Mc Farland, CA 93250-1008 | 2011-02-14 |
| 1558584102 | Positive Directions, Inc | Nursing Facility/Intermediate Care Facility | 816 3rd St, Mc Farland, CA 93250-1011 | 2007-04-11 |
| 1255454633 | Positive Directions, Inc | Nursing Facility/Intermediate Care Facility | 1031 Kala Loop, Mc Farland, CA 93250-1062 | 2007-04-09 |
| 1821544420 | Anastasia Rivera | Counselor | 601 2nd St, Mc Farland, CA 93250-1121 | 2016-09-01 |
| 1710010921 | Mcfarland Unified School District | Local Education Agency (LEA) | 601 2nd St, Mc Farland, CA 93250-1121 | 2007-03-14 |
| 1619486420 | Lakir P Amin | Pharmacist | 150 W Kern Ave, Mc Farland, CA 93250-1349 | 2017-09-25 |
| Find all providers in zip 93250 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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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.