EMINENCE HEALTHCARE SERVICES, LLC (NPI# 1528599792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528599792 |
| Entity Type | Organization |
| Organization Name | EMINENCE HEALTHCARE SERVICES, LLC |
| Practice Address |
4250 E Tulare St Fresno CA 93702-3037 |
| Mailing Address |
Po Box 27707 Fresno CA 93729-7707 |
| Practice Telephone | 5592218100 |
| Mailing Telephone | 5592218100 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | JUAN GARZA II (CEO) |
| 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 |
|---|---|---|---|---|
| 1629519871 | Eminence Healthcare Services, LLC | Clinic/Center | 4330 E Garland Ave, Fresno, CA 93726-6102 | 2017-03-20 |
| 1750752879 | Eminence Healthcare Services, LLC | Clinic/Center | 16673 Palmer Ave, Rooms 1, 2, 3, 4, 5, Huron, CA 93234-1090 | 2015-10-15 |
| 1922478734 | Eminence Healthcare Services, LLC | Clinic/Center | 13883 S Lassen Ave, Rooms 1 & 2, Helm, CA 93627-9900 | 2015-10-06 |
| 1568844041 | Eminence Healthcare Services, LLC | Clinic/Center | 707 Letts Ave, Rooms B1, B3 1/2, Corcoran, CA 93212-1753 | 2015-06-22 |
| 1538540521 | Eminence Healthcare Services, LLC | Clinic/Center | 1100 Letts Ave, Rooms 4, 7, Sc4, Corcoran, CA 93212-2520 | 2015-06-15 |
| 1306227954 | Eminence Healthcare Services, LLC | Clinic/Center | 701 General Petroleum Avenue, Rooms 13, 17, 18, Kettleman City, CA 93239-0599 | 2015-06-09 |
| 1205224110 | Eminence Healthcare Services, LLC | Clinic/Center | 205 S 1st St, Kerman, CA 93630-1001 | 2014-12-30 |
| 1154729382 | Eminence Healthcare Services, LLC | Clinic/Center | 877 E North Ave, Room 2, Reedley, CA 93654-2566 | 2014-12-22 |
| 1821224650 | Eminence Healthcare Services, LLC | Clinic/Center | 608 N 1st Ave, Room 21, Avenal, CA 93204-1071 | 2009-06-08 |
| 1477789394 | Eminence Healthcare Services, LLC | Clinic/Center | 351 E Bush St, Rooms 57-61,63-67, Lemoore, CA 93245-3651 | 2009-06-05 |
| Street Address |
4250 E TULARE ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| 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 |
| 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 |
| 1043469539 | Eminence Healthcare, Inc. | Clinic/Center | 6240 W Palo Alto Ave, Rm 201, 301, 801-805, Fresno, CA 93722-2001 | 2008-09-09 |
| 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.