EMINENCE HEALTHCARE SERVICES LLC NPI 1063601896

NPI Information

NPI: 1063601896
Provider Name: EMINENCE HEALTHCARE SERVICES, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
10026 S CRAWFORD AVE
ROOMS 1-6
DINUBA, CA
ZIP 93618
Phone: (559) 221-8100
Get Directions

EMINENCE HEALTHCARE SERVICES, LLC is a rehabilitation and substance use disorder clinic center in Dinuba, CA. EMINENCE HEALTHCARE SERVICES, LLC NPI is 1063601896. The provider is registered as an organization entity type.

The provider's business location address is:

10026 S CRAWFORD AVE
ROOMS 1-6
DINUBA, CA
ZIP 93618-208
Phone: (559) 221-8100
Fax: (559) 221-8101

The provider's authorized official is Juan Garza .
The authorized official title is Ceo/program Director and has the following contact phone number (559) 221-8100.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 9/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101076	OTHER	CALIFORNIA	MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »