Organization Active NPI

My Village

  • Home Health Agency
  • Beaumont, CA
National Provider Identifier
1336027739
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MY VILLAGE
Practice address
1414 Bayberry LN
Beaumont, CA 92223-3356
Phone
(951) 443-7432
NPI assigned
Aug 25, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Yolanda C Gordon
Title
Partner
Phone
(951) 443-7432

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1414 Bayberry LN
Beaumont, CA 92223-3356

Mailing address

1414 Bayberry LN
Beaumont, CA 92223-3356
Phone (951) 443-7432

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2025.

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1336027739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 BAYBERRY LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233356",
            "telephone_number": "951-443-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 BAYBERRY LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233356",
            "telephone_number": "951-443-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-443-7432"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.