BERHE GROUP HOME, INC. (NPI# 1609392729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609392729 |
| Entity Type | Organization |
| Organization Name | BERHE GROUP HOME, INC. |
| Other Organization Name | THE BERHE GROUP |
| Practice Address |
1604 N Pennsylvania Ave San Bernardino CA 92411-1171 |
| Mailing Address |
1845 Business Center Dr Ste 208 San Bernardino CA 92408-3447 |
| Practice Telephone | 9098870160 |
| Practice Fax Number | 9098901043 |
| Mailing Telephone | 9098901041 |
| Mailing Fax Number | 9098901043 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | JUDY G BERHE (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 9098901041 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 366401098 | CA | Agencies |
| Other Name | Type Code |
|---|---|
| The Berhe Group | Doing Business As Name - Organization |
| Street Address |
1604 N PENNSYLVANIA AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740844687 | Daniel Smith | Counselor | 1604 N Pennsylvania Ave, San Bernardino, CA 92411-1171 | 2019-04-25 |
| 1770056194 | Tadesse Yohannes Haile | Counselor | 1604 N Pennsylvania Ave, San Bernardino, CA 92411-1171 | 2019-01-08 |
| 1871062091 | Rosemary Glaven | Counselor | 1604 N Pennsylvania Ave, San Bernardino, CA 92411-1171 | 2018-11-16 |
| 1295201903 | Rueben Michael Arrieta | Counselor | 1604 N Pennsylvania Ave, San Bernardino, CA 92411-1171 | 2018-10-19 |
| 1912473620 | Lia Abraham Amanios | Counselor | 1604 N Pennsylvania Ave, San Bernardino, CA 92411-1171 | 2018-10-19 |
| 1659863322 | Aaron Ramsey | Case Manager/Care Coordinator | 1604 N Pennsylvania Ave, San Bernardino, CA 92411 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688892 | Berhe Group Home Inc. | Community/Behavioral Health | 5994 Mckinley Ave, San Bernardino, CA 92404-3530 | 2020-04-16 |
| 1902436744 | Koinonia Foster Homes, Inc. | Community/Behavioral Health | 1881 Business Center Dr Ste 10, San Bernardino, CA 92408-3465 | 2020-01-21 |
| 1750931572 | County of San Bernardino | Community/Behavioral Health | 351 N Mt View Ave San Bernardino Ca 92415, San Bernardino, CA 92415-0001 | 2019-09-13 |
| 1922579598 | Expert Aba Consulting | Community/Behavioral Health | 3975 Modesto Dr, San Bernardino, CA 92404-1946 | 2018-12-07 |
| 1619452547 | County of San Bernardino | Community/Behavioral Health | 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 | 2018-09-26 |
| 1558878819 | Latasha Shenise Jones | Community/Behavioral Health | 2030 E 19th St Apt C, San Bernardino, CA 92404-5800 | 2018-01-08 |
| 1003331018 | Bianka Elsie Sanchez | Community/Behavioral Health | 7812 Merito Ave, San Bernardino, CA 92410-4631 | 2017-08-10 |
| 1821511908 | Wendy Martinez | Community/Behavioral Health | 5550 University Pkwy, San Bernardino, CA 92407-2318 | 2017-07-20 |
| 1801319124 | Ernesto Alonso | Community/Behavioral Health | 325 W Hospitality Ln Ste 104, San Bernardino, CA 92408-3210 | 2017-07-18 |
| 1699167098 | Joseph Malancharuvil, Ph.d.,a Psych Corporation | Community/Behavioral Health | 2048 N Waterman Ave, San Bernardino, CA 92404-4835 | 2015-02-23 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
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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.