MR. JEREMY LEE CAIN (NPI# 1972752947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972752947 |
Entity Type | Individual |
Full Name | MR. JEREMY LEE CAIN |
Practice Address |
13800 Heacock St Ste C236 Moreno Valley CA 92553-3364 |
Mailing Address |
7532 Casa Blanca St Riverside CA 92504-4108 |
Practice Telephone | 9516530819 |
Mailing Telephone | 9515290708 |
Enumeration Date | 2008-09-15 |
Last Update Date | 2011-01-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942651476 | Jeremy Cain | Technician, Other | 13300 Village Park Dr, 1082, Southgate, MI 48195-2759 | 2016-06-27 |
Street Address |
13800 HEACOCK ST STE C236 |
City | MORENO VALLEY |
State | CA |
Zip Code | 92553-3364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356482962 | Gencia Margariette Williams | Marriage & Family Therapist | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2007-02-08 |
1003232414 | Kristen Bernardino Lorenz | Case Manager/Care Coordinator | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2014-03-10 |
1518207059 | Jaaval Shaune Cato | Case Manager/Care Coordinator | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2013-02-20 |
1558601138 | Unique Shaw-smith | Case Manager/Care Coordinator | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2013-02-19 |
1245584374 | Corina Resabala Villacis | Case Manager/Care Coordinator | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2012-10-26 |
1497051635 | Jodi Ellen Alvarez | Case Manager/Care Coordinator | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2011-02-06 |
1104146299 | Ralph Richard Aguilar | Case Manager/Care Coordinator | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2010-06-11 |
1467772806 | Jacob C Tanner | Counselor | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2010-06-08 |
1649592338 | Michael David Foust | Rehabilitation Practitioner | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2010-02-22 |
1790921559 | Kristi Marie Casler | Case Manager/Care Coordinator | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2008-12-29 |
Find all providers in the same location |
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 | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689153819 | James Gonzales | Counselor | 25123 Middlebrook Way, Moreno Valley, CA 92551-9204 | 2018-08-08 |
1235677063 | Anita Denise Robinson | Counselor | 25539 Palo Cedro Dr, Moreno Valley, CA 92551-1915 | 2017-01-31 |
1831548999 | Randi Elise Gallegos | Counselor | 13306 Lasselle St, #1075, Moreno Valley, CA 92553-0843 | 2016-06-09 |
1184065377 | Erika Alonzo | Counselor | 13309 Coffeetree St, Moreno Valley, CA 92553-6950 | 2013-07-16 |
1780937953 | Barbara Rodriguez | Counselor | 2319 Cottonwood Ave, Building A, Suite 110, Moreno Valley, CA 92553 | 2012-10-24 |
1487962114 | Ashley Renae Williams-queen | Counselor | 13262 Lasselle St Apt 2011, Moreno Valley, CA 92553-0832 | 2010-09-15 |
1740412683 | Arthur Natsume | Counselor | 12817 Penske St, Moreno Valley, CA 92553-5213 | 2009-08-11 |
1992944664 | Aladdin Tungmeas | Counselor | 14139 San Cristobal Bay Dr, Moreno Valley, CA 92553-2908 | 2009-02-19 |
1679750947 | Edward Halomoan Siahaan | Counselor | 22899 Cattail Ln, Moreno Valley, CA 92557-6013 | 2008-01-29 |
1568656734 | Georgina Muriel Cowie | Counselor | 21250 Box Springs Rd Ste 106, Moreno Valley, CA 92557-8707 | 2007-08-30 |
Find all providers in MORENO VALLEY |
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.