NPIMap

Organization Active NPI

Eminence Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tollhouse, CA
National Provider Identifier
1083866412
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EMINENCE HEALTHCARE, INC.
Practice address
33326 Lodge Rd
Room 22
Tollhouse, CA 93667-9644
Phone
(559) 221-8100
NPI assigned
Oct 16, 2008
Last updated
Dec 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

33326 Lodge Rd
Room 22
Tollhouse, CA 93667-9644

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
106202OtherCAMEDI-CAL

National Provider Directory

National Provider Directory
Tax ID family
Eminence Healthcare Services LLC21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

33326 Lodge Rd
Rm 22
Tollhouse, CA 93667

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1083866412",
    "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": "33326 LODGE RD",
            "address_2": "ROOM 22",
            "city": "TOLLHOUSE",
            "state": "CA",
            "postal_code": "936679644",
            "telephone_number": "559-221-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "COO/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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "106202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tollhouse, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.