IMMACULATE CARE CENTER INC. (NPI# 1649442831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649442831 |
| Entity Type | Organization |
| Organization Name | IMMACULATE CARE CENTER INC. |
| Practice Address |
24384 Sunnymead Blvd Ste.240 Moreno Valley CA 92553 |
| Mailing Address |
24384 Sunnymead Blvd Ste 240 Moreno Valley CA 92553-7765 |
| Practice Telephone | 9512430303 |
| Practice Fax Number | 9512433006 |
| Mailing Telephone | 9512430303 |
| Mailing Fax Number | 9512433006 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | MS. DORYCE M. AGUIRRE (SUPERVISOR) |
| Authorized Official Telephone | 9512430303 |
| Authorized Official Credential | RASI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Street Address |
24384 SUNNYMEAD BLVD STE.240 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447815659 | Quinn Community Outreach Corporation | Health Maintenance Organization | 25400 Alessandro Blvd Ste 101, Moreno Valley, CA 92553-4319 | 2019-05-02 |
| 1336535947 | Coalition of Registered Nurses 4 Healthy Communities | Health Maintenance Organization | 21495 Dickinson Rd, Moreno Valley, CA 92557-8421 | 2015-04-09 |
| 1750775714 | Community Center for Healthy Minds (cchm) | Health Maintenance Organization | 13800 Heacock St Ste D139b, Moreno Valley, CA 92553-6276 | 2015-03-26 |
| 1497313662 | Yvonne Roberson Choyce | Health Maintenance Organization | 25400 Alessandro Blvd Ste 101, Moreno Valley, CA 92553-4319 | 2019-06-03 |
| 1396301032 | Fordelma Jones | Health Maintenance Organization | 25400 Alessandro Blvd, Moreno Valley, CA 92553-4319 | 2019-05-17 |
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| 1548883788 | Careplan Ipa, Inc | Health Maintenance Organization | 18000 Studebaker Road, Suite 100, Cerritos, CA 90703-7929 | 2020-05-22 |
| 1982227450 | Zeev Neumeier | Health Maintenance Organization | 1691 Ward St, Berkeley, CA 94703-1827 | 2020-05-19 |
| 1669009247 | Doctor's Managed Ipa, Inc | Health Maintenance Organization | 4959 Palo Verde St Ste 101b, Montclair, CA 91763-2331 | 2020-03-24 |
| 1710512298 | United Physicians Association Inc | Health Maintenance Organization | 14803 Badlona Dr, La Mirada, CA 90638-3834 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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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.