DUNAMIS INC GROUP HOME (NPI# 1962637512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962637512 |
| Entity Type | Organization |
| Organization Name | DUNAMIS INC GROUP HOME |
| Other Organization Name | DUNAMIS INC. |
| Practice Address |
4991 E Mckinley Ave Ste 112&113 Fresno CA 93727-1900 |
| Mailing Address |
823 W Sussex Way Fresno CA 93705-2021 |
| Practice Telephone | 2817825887 |
| Mailing Telephone | 2817825887 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2013-08-07 |
| Authorized Official Name | MR. ORLANDO GILLAM II (CEO) |
| Authorized Official Telephone | 2817825887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 51-0488512 | CA | Agencies |
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100086AN | CA | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 100086AN | CA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Dunamis Inc. | Doing Business As Name - Organization |
| Street Address |
4991 E MCKINLEY AVE STE 112&113 |
| City | FRESNO |
| State | CA |
| Zip Code | 93727-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209604 | Roxanne Baeza | Social Worker | 4991 E Mckinley Ave Ste 112&113, Fresno, CA 93727-1900 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
| 1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
| 1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
| 1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
| 1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
| 1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
| 1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
| 1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
| Find all providers in zip 93727 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| 1467060053 | Michigan House Inc. | Community Based Residential Treatment Facility, Mental Illness | 1224 E Michigan Ave, Fresno, CA 93704-5731 | 2020-07-20 |
| 1346877594 | 2nd Home Incorporated | Community Based Residential Treatment Facility, Mental Illness | 3239 E Tenaya Way, Fresno, CA 93710-5924 | 2020-03-26 |
| 1174185722 | Dn Associates | Community Based Residential Treatment Facility, Mental Illness | 3793 N Polk Ave, Fresno, CA 93722-9763 | 2019-07-03 |
| 1770143646 | Core Conditions, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3765 W Dakota Ave, Fresno, CA 93722-4784 | 2019-06-13 |
| 1891354023 | Core Conditions, Inc. | Community Based Residential Treatment Facility, Mental Illness | 114 S Brawley Ave, Fresno, CA 93706-2103 | 2019-06-11 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1093892663 | Crestwood Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 153 N U St, Fresno, CA 93701-2438 | 2006-11-01 |
| 1972112563 | Michigan House Inc. | Community Based Residential Treatment Facility, Mental Illness | 1209 S Hughes Ave, Fresno, CA 93706-2321 | 2020-07-29 |
| 1063021921 | Hope for Youth, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4324 W Harvard Ave, Fresno, CA 93722-5183 | 2020-07-27 |
| Find all providers in FRESNO | ||||
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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.