Molding Hearts Org

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MOLDING HEARTS ORG

Practice address

6805 Prescott Ave
Yucca Valley, CA 92284-5914

Phone

(951) 464-8587

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Lakita T Johnson

Title

Ceo

Phone

(951) 464-8587

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1306689682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 PRESCOTT AVE",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845914",
            "telephone_number": "951-464-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 PRESCOTT AVE",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845914",
            "telephone_number": "951-464-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLDING HEARTS ORG",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAKITA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-464-8587",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Vanessa Marinas Militar
• Angelique Miller
• Kate Marie Miller, PTA
• Stacy Lee Miller, M.S., R.D.
• Jason Mitruk
• Luz Molina
• Vanessa Monreal, LVN
• Thomas Lee Montenegro
• Joanna Stephanie Monterrosa, M.S.
• Anna-Mae Evangeline Conrad Moore, MSW

• All providers in Yucca Valley, CA
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.