PRIMARY RELIANCE INC. NPI 1821133018

NPI Information

NPI: 1821133018
Provider Name: PRIMARY RELIANCE INC.
Classification: Assisted Living Facility - 3104A0625X
Specialization: Assisted Living, Mental Illness
Entity Type: Organization
Address: 16212 BENWICK ST
LA PUENTE, CA
ZIP 91744
Phone: (626) 917-2412

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NPI Details

PRIMARY RELIANCE INC. is an assisted living and mental illness assisted living facility in La Puente, CA. The provider is 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. PRIMARY RELIANCE INC. NPI is 1821133018. The provider is registered as an organization entity type.

The provider's business location address is:

16212 BENWICK ST
LA PUENTE, CA
ZIP 91744-301
Phone: (626) 917-2412

The provider's authorized official is Celestine Green .
The authorized official title is President and has the following contact phone number (626) 339-3913.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/22/2020.

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	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness			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	LTC60678F	OTHER	CALIFORNIA	ICF DDH - BENWICK

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: 3/30/2025

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