MR. MAURICE K HOLMES (NPI# 1992914485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992914485 |
| Entity Type | Individual |
| Full Name | MR. MAURICE K HOLMES |
| Practice Address |
17800 S Main St Gardena CA 90248-3500 |
| Mailing Address |
1658 W 67th St Los Angeles CA 90047-1917 |
| Practice Telephone | 3105321320 |
| Mailing Telephone | 3237505714 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245216878 | Maurice A Holmes | Emergency Medicine | 18300 Saint John Dr, Houston, TX 77058-6302 | 2005-12-15 |
| Street Address |
17800 S MAIN ST |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972712552 | Patricia Yvonne Doss-jones | Counselor | 17800 S Main St, Suite 103, Gardena, CA 90248-3500 | 2007-05-21 |
| 1881087179 | All Yellow Taxi, Inc. | Taxi | 17800 S Main St, 101, Gardena, CA 90248-3500 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811240278 | Carol Chilaka | Counselor | 1321 W Rosecrans Ave, W Rosecrans Ave #40, Gardena, CA 90247-2426 | 2012-10-23 |
| 1699025007 | Donaji Aguilar | Counselor | 1109 W 135th St, Gardena, CA 90247-1918 | 2012-09-12 |
| 1902196496 | Iris Yvette Knighten | Counselor | 16914 S. Berendo Ave # B, Gardena, CA 90247 | 2011-04-18 |
| 1528388691 | Sophia Amos Ix | Counselor | 3131 W 145th St Apt 6, Gardena, CA 90249-3159 | 2010-06-10 |
| 1679809529 | Duane Burnett | Counselor | 2901 W 141st Pl, Suite 3, Gardena, CA 90249-2763 | 2009-10-28 |
| 1942536156 | Cheryl Marie Emmons | Counselor | 515 W Gardena Blvd, Suite 11, Gardena, CA 90248-2629 | 2009-10-22 |
| 1376776385 | Total Family Support Clinic | Counselor | 1618 W 184th St, Gardena, CA 90248-3803 | 2009-08-25 |
| 1366681835 | Valerie Willis | Counselor | 15201 Crenshaw Blvd, Gardena, CA 90249-4048 | 2009-02-06 |
| 1407024185 | Victor Maduabuchi | Counselor | 15222 Eriel Ave, Gardena, CA 90249-4019 | 2008-02-14 |
| 1972712552 | Patricia Yvonne Doss-jones | Counselor | 17800 S Main St, Suite 103, Gardena, CA 90248-3500 | 2007-05-21 |
| Find all providers in GARDENA | ||||
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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.