DUNAMIS, INC. GROUP HOME (NPI# 1104245489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104245489 |
| Entity Type | Organization |
| Organization Name | DUNAMIS, INC. GROUP HOME |
| Practice Address |
1509 N Maroa Ave Fresno CA 93728-1815 |
| Practice Telephone | 5594411543 |
| Mailing Telephone | 5594411543 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | MR. ORLANDO GILLAM (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5599812143 |
| Is Organization Subpart | Y |
| Parent Organization Name | DUNAMIS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 100091AN | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI CAL | 1962637512 | 01 |
| Street Address |
1509 N MAROA AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93728-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1750873717 | Focus Forward | Case Management | 732 N. Van Ness Ave, Fresno, CA 93728 | 2018-06-05 |
| 1811167927 | Rita Elizabeth Stevenson | Counselor | 1027 N Van Ness Ave, Fresno, CA 93728 | 2008-03-04 |
| 1578784153 | Ann B. White | Psychologist | 938 N. Van Ness Avenue, Fresno, CA 93728 | 2007-05-01 |
| 1891912283 | B & B Management Inc. | Dentist | 1215 N. Del Mar Ave., Fresno, CA 93728 | 2007-04-19 |
| 1285858696 | Geoffrey Landon Smith | Marriage & Family Therapist | 1055 N. Van Ness, Suite I, Fresno, CA 93728 | 2007-04-13 |
| 1225152077 | Melva Robinson | Licensed Vocational Nurse | 539 N Van Ness, Fresno, CA 93728 | 2007-03-19 |
| 1508902131 | Lauro Samson So | Dentist | 1436 E Olive Ave, Fresno, CA 93728 | 2007-01-30 |
| 1922467083 | Karie Jean Follis | Licensed Vocational Nurse | 539 N Van Ness Ave, Fresno, CA 93728 | 2016-02-17 |
| 1013216969 | Elena Soza | Counselor | 2731 W Olive Ave, Fresno, CA 93728 | 2011-03-17 |
| Find all providers in zip 93728 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1023626694 | My Time Recovery, LLC | Substance Abuse Rehabilitation Facility | 1015 E Indianapolis Ave, Fresno, CA 93704-3819 | 2020-07-20 |
| 1659826287 | Comprehensive Addiction Program | Substance Abuse Rehabilitation Facility | 2492 S Backer Ave, Fresno, CA 93725-1605 | 2016-08-24 |
| 1275088817 | Comprehensive Addiction Program | Substance Abuse Rehabilitation Facility | 4647 N Chestnut Ave Apt 101, Fresno, CA 93726-1803 | 2016-08-24 |
| 1588067912 | Sierra Tribal Consortium, Inc. | Substance Abuse Rehabilitation Facility | 610 W Mckinley Ave, Fresno, CA 93728-1425 | 2014-09-30 |
| 1710247762 | King of Kings Men's Recovery Home | Substance Abuse Rehabilitation Facility | 2267 S Geneva Ave, Fresno, CA 93706-4326 | 2012-05-24 |
| 1720221443 | Comprehensive Addiction Programs Inc | Substance Abuse Rehabilitation Facility | 2445 W Whitesbridge Road, Fresno, CA 93706-1225 | 2009-04-10 |
| 1497939441 | Westcare California, Inc. | Substance Abuse Rehabilitation Facility | 2855 W. Whitesbridge Road, Fresno, CA 93706 | 2007-12-27 |
| 1407064843 | Universal Health Network and Systems, Inc. | Substance Abuse Rehabilitation Facility | 3170 N Chestnut Ave, Suite 105, Fresno, CA 93703 | 2007-05-18 |
| 1861610735 | Eleventh Hour Rehabilitation Programs | Substance Abuse Rehabilitation Facility | 5639 E Park Circle Dr, Fresno, CA 93727-5413 | 2007-04-23 |
| 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.