Eminence Healthcare Services, LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Fresno, CA
NPI 1508047333 · NPPES record last updated Sep 21, 2017
Key facts
- NPI
- 1508047333
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- EMINENCE HEALTHCARE SERVICES, LLC
- Practice address
- 11 S Teilman Ave
RM 1, 2, 5, 12-18
Fresno, CA 93706-1332 - Phone
- (559) 221-8100
- Fax
- (559) 221-8101
- NPI assigned
- Nov 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Juan Garza II
- Title
- Ceo/Program Director
- Phone
- (559) 221-8100
Corporate family (same tax ID) 40
Practitioners 11
National Provider Directory
- Tax ID family
- Eminence Healthcare Services LLC
Locations
11 S Teilman Ave
Rm 1
Fresno, CA 93706
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
11 S Teilman Ave
RM 1, 2, 5, 12-18
Fresno, CA 93706-1332
Mailing address
PO Box 27707
Fresno, CA 93729-7707
Phone (559) 221-8100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101076 | Other | CA | MEDI-CAL |
Other providers in Fresno, CA
- Eminence Health Care
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
All providers in Fresno, CA · Substance Use Disorder Rehabilitation Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.