Primary Reliance Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PRIMARY RELIANCE INC

Practice address

2145 Victoria Way
Pomona, CA 91767-2362

Phone

(626) 622-1153

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)
  • San Dimas, CA
  • NPI 1205950714
  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": "1376667873",
    "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": "2145 VICTORIA WAY",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672362",
            "telephone_number": "626-622-1153"
        }
    ],
    "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": "VICTORIA WAY PROVIDER NO.",
            "identifier": "LTC61037F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darmawan Pribadi, DDS
• Kenna Price
• Debra Priestly
• Jessica Prieto, BA
• Primary Critical Care Limited Partnership
• Prime One Care LLC
• Pristine Medical Group
• Sandy Priyawat, DDS
• Pro Angels Inc
• Pro-Health Community Care

• Assisted Living Facility (Mental Illness) in Pomona, CA
• Providers in Pomona, 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.