Active NPI
My Village
- Home Health Agency
- Beaumont, CA
National Provider Identifier
1336027739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.