Primary Reliance Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PRIMARY RELIANCE INC

Practice address

1342 Paseo Encinas
San Dimas, CA 91773-4217

Phone

(909) 599-4396

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Celestine Green

Title

Owner

Phone

(626) 966-1373

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Primary Reliance Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Primary Reliance Inc

  • Assisted Living Facility (Mental Illness)
  • Pomona, CA
  • NPI 1376667873
  NPD tax ID
• Primary Reliance Inc.

  • Assisted Living Facility (Mental Illness)
  • La Puente, CA
  • NPI 1821133018
  NPD tax ID

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205950714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N STEPHORA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243152",
            "telephone_number": "626-966-1373",
            "fax_number": "626-915-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 PASEO ENCINAS",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734217",
            "telephone_number": "909-599-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY RELIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CELESTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-966-1373",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENCINAS PROVIDER NO.",
            "identifier": "LTC60598F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahar Pourtaheri
• Chara Powell
• Premier Care of Northern California
• Issell Preston Garcia
• Sydney Preston, M.S., CCC-SLP
• Prime Healthcare Services - San Dimas LLC
• Prime Healthcare Services - San Dimas LLC
• Danielle Prioleau
• Pro-Fit Solutions, Inc.
• Professional Medical Ultrasound Inc

• Assisted Living Facility (Mental Illness) in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.