NPIMap

Organization Active NPI

Dunamis, Inc. Group Home

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1104245489
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
100091AN Issued in CA
Legal business name
DUNAMIS, INC. GROUP HOME
Practice address
1509 N Maroa Ave
Fresno, CA 93728-1815
Phone
(559) 441-1543
NPI assigned
Apr 15, 2014
Organization subpart
Yes
Parent organization
DUNAMIS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Mr. Orlando GillamNPI 1962836676
Title
Chief Executive Officer
Phone
(559) 981-2143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 100091AN CA Primary

Addresses

Primary practice location

1509 N Maroa Ave
Fresno, CA 93728-1815

Mailing address

1509 N Maroa Ave
Fresno, CA 93728-1815
Phone (559) 441-1543

Other identifiers 1

IdentifierTypeStateIssuer
1962637512OtherCAMEDI CAL

National Provider Directory

National Provider Directory
Tax ID family
Dunamisinc Group Home28 organizations share this tax ID, including this one
Part of
Dunamisinc Group Home

Other organizations with this tax ID 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1104245489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N MAROA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281815",
            "telephone_number": "559-441-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N MAROA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281815",
            "telephone_number": "559-441-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNAMIS, INC. GROUP HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNAMIS, INC",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "GILLAM",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "559-981-2143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "100091AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "1962637512",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.