Organization Active NPI

Eminence Healthcare Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Parlier, CA
National Provider Identifier
1053500710
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EMINENCE HEALTHCARE SERVICES, LLC
Practice address
603 3Rd St
Rooms 25 & 26
Parlier, CA 93648-2028
Phone
(559) 221-8100
Fax
(559) 221-8101
NPI assigned
Oct 18, 2007
Last updated
Sep 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Juan Garza II
Title
Ceo/Program Director
Phone
(559) 221-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

603 3Rd St
Rooms 25 & 26
Parlier, CA 93648-2028

Mailing address

PO Box 27707
Fresno, CA 93729-7707
Phone (559) 221-8100

Other identifiers 1

IdentifierTypeStateIssuer
101076OtherCAMEDI-CAL

National Provider Directory

National Provider Directory
Tax ID family
Eminence Healthcare Services LLC41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

603 3rd St
Rm 25
Parlier, CA 93648

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1053500710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27707",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937297707",
            "telephone_number": "559-221-8100",
            "fax_number": "559-221-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 3RD ST",
            "address_2": "ROOMS 25 & 26",
            "city": "PARLIER",
            "state": "CA",
            "postal_code": "936482028",
            "telephone_number": "559-221-8100",
            "fax_number": "559-221-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "559-221-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "101076",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.