Active NPI
Faith Resource Group LLC
- Assisted Living Facility (Mental Illness)
- San Bernardino, CA
National Provider Identifier
1538053574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.