EMINENCE HEALTHCARE SERVICES, LLC (NPI# 1871778829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871778829 |
| Entity Type | Organization |
| Organization Name | EMINENCE HEALTHCARE SERVICES, LLC |
| Practice Address |
2045 N Dickenson Ave Rooms 17, 19, Mh, 32-34, 71-75, So-a Fresno CA 93723-9643 |
| Mailing Address |
Po Box 27707 Fresno CA 93729-7707 |
| Practice Telephone | 5592218100 |
| Practice Fax Number | 5592218101 |
| Mailing Telephone | 5592218100 |
| Mailing Fax Number | 5592218101 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | MR. JUAN GARZA II (CEO/PROGRAM DIRECTOR) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 10-6208 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528599792 | Eminence Healthcare Services, LLC | Clinic/Center | 4250 E Tulare St, Fresno, CA 93702-3037 | 2017-03-21 |
| 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 |
| Street Address |
2045 N DICKENSON AVE ROOMS 17, 19, MH, 32-34, 71-75, SO-A |
| City | FRESNO |
| State | CA |
| Zip Code | 93723-9643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205268224 | Thammee Socias | Physical Therapist | 6556 W Fairmont Ave, Fresno, CA 93723-3000 | 2013-08-01 |
| 1588043574 | Central Valley Transport | Non-emergency Medical Transport (VAN) | 5670 N Sycamore Ave, Fresno, CA 93723-4002 | 2015-05-22 |
| 1467626424 | Susan Kaur Sran | Counselor | 6902 W Wrenwood Ln, Fresno, CA 93723-4003 | 2008-04-21 |
| 1336505023 | Bree Purganan | Licensed Vocational Nurse | 6897 W Gibson Ave, Fresno, CA 93723-4010 | 2016-01-11 |
| 1497039150 | Tommy J Jung | Pharmacist | 6039 N La Ventana Ave, Fresno, CA 93723-4012 | 2011-09-29 |
| 1235617382 | Matthew Vega | Physical Therapy Assistant | 5226 N Phoenix Ave, Fresno, CA 93723-4066 | 2018-07-31 |
| 1609422815 | Alicia Becton | Counselor | 7110 W San Bruno Ave, Fresno, CA 93723-4069 | 2019-08-13 |
| 1407121064 | A&s Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 6307 W Portals Ave, Fresno, CA 93723-7647 | 2012-03-15 |
| 1275978694 | Acts of Service | In Home Supportive Care | 6327 W Wrenwood Ln, Fresno, CA 93723-7654 | 2013-04-30 |
| 1588009997 | Vicky Robinson | Licensed Vocational Nurse | 6327 W Wrenwood Ln, Fresno, CA 93723-7654 | 2013-04-30 |
| Find all providers in zip 93723 | ||||
| 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 |
| 1528599792 | Eminence Healthcare Services, LLC | Clinic/Center | 4250 E Tulare St, Fresno, CA 93702-3037 | 2017-03-21 |
| 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 |
| 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.