Organization Active NPI

Faith Resource Group LLC

  • Assisted Living Facility (Mental Illness)
  • San Bernardino, CA
National Provider Identifier
1538053574
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
FAITH RESOURCE GROUP LLC
Practice address
971 W 41St St
San Bernardino, CA 92407-3464
Phone
(909) 470-7157
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Valencia Danee Vance
Title
Ceo
Phone
(909) 470-7157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

971 W 41St St
San Bernardino, CA 92407-3464

Mailing address

5423 Golondrina Dr
San Bernardino, CA 92404-2943
Phone (909) 470-7157

Other practice location 1

5423 Golondrina Dr
San Bernardino, CA 92404-2943
Phone (909) 470-7157

Other practice location 2

332 W 48th St
San Bernardino, CA 92407-3608
Phone (909) 470-7157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1538053574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 GOLONDRINA DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924042943",
            "telephone_number": "909-470-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 W 41ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924073464",
            "telephone_number": "909-470-7157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5423 Golondrina Dr",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924042943",
            "country_code": "US",
            "telephone_number": "909-470-7157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 W 48th St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924073608",
            "country_code": "US",
            "telephone_number": "909-470-7157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAITH RESOURCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_middle_name": "DANEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-470-7157"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.