PRIMARY RELIANCE INC. (NPI# 1821133018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821133018 |
| Entity Type | Organization |
| Organization Name | PRIMARY RELIANCE INC. |
| Practice Address |
16212 Benwick St La Puente CA 91744-1301 |
| Mailing Address |
226 N Stephora Ave Covina CA 91724-3152 |
| Practice Telephone | 6269172412 |
| Mailing Telephone | 6263393913 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CELESTINE GREEN (PRESIDENT) |
| Authorized Official Telephone | 6263393913 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ICF DDH - BENWICK | LTC60678F | 01 |
| Street Address |
16212 BENWICK ST |
| City | LA PUENTE |
| State | CA |
| Zip Code | 91744-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073158051 | Juan Gomez Jr. | Case Manager/Care Coordinator | 106 S. Seventh Avenue, La Puente, CA 91744 | 2019-11-13 |
| 1821630898 | Richard B Vasquez Jr. | Technician | 14602 Hartsville St., La Puente, CA 91744 | 2019-10-11 |
| 1639720196 | Yolanda Salazar | Technician | 14744 Flanner Street, La Puente, CA 91744 | 2019-09-26 |
| 1154898245 | Karen Elvera Garza | Case Manager/Care Coordinator | 160 S.seventh Ave, La Puente, CA 91744 | 2018-10-27 |
| 1649709916 | Briana Michelle Ramos | Student in an Organized Health Care Education/Training Program | 1550 N Hacienda Blvd., La Puente, CA 91744 | 2017-06-08 |
| 1952857237 | Autumn Abadesco | Dentist | 525 N Azusa Ave #112, La Puente, CA 91744 | 2016-08-28 |
| 1649724790 | Michelle Han | Acupuncturist | 129 Homestead St, La Puente, CA 91744 | 2016-08-06 |
| 1750756375 | Vanessa Molina | Marriage & Family Therapist | 160 S. Seventh Ave., La Puente, CA 91744 | 2015-12-08 |
| 1649668294 | Jennifer Mendoza Leyran | Physical Therapist | 15959 Main Street, La Puente, CA 91744 | 2015-01-06 |
| 1073949863 | Brenda Ann Tabone | Nurse Practitioner | 160 S. Seventh Avenue, La Puente, CA 91744 | 2013-09-25 |
| Find all providers in zip 91744 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
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| 1174157721 | Oakview-eldorado Oaks, Inc | Assisted Living Facility | 1762 Dale Rd, Glendora, CA 91740-5431 | 2020-02-22 |
| 1952955841 | Green Merrylands Inc | Assisted Living Facility | 15986 Baltray Way, Fontana, CA 92336-4546 | 2019-07-29 |
| 1639722002 | Golden Living In Sylmar, Inc. | Assisted Living Facility | 14060 Astoria Street, Sylmar, CA 91342-2949 | 2019-07-24 |
| 1437701307 | Arlington Management LLC | Assisted Living Facility | 4609 Arlington Ave, Riverside, CA 92504-2705 | 2019-07-11 |
| 1215404769 | Arm Group Homes LLC. | Assisted Living Facility | 53 Newburn Ct, Beaumont, CA 92223-3131 | 2018-11-01 |
| 1679052849 | Laulelei Care Solutions LLC | Assisted Living Facility | 7551 Sweetfern Way, Sacramento, CA 95822-5726 | 2018-08-09 |
| 1922584903 | Diya Senior Care Corp | Assisted Living Facility | 366 Lassenpark Cir, San Jose, CA 95136-2159 | 2018-07-13 |
| 1992293732 | Recuperative and Supportive Services, LLC | Assisted Living Facility | 21200 Ventura Blvd, Woodland Hills, CA 91364-2106 | 2018-04-26 |
| Find all providers with the same taxonomy | ||||
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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.