NPIMap

Organization Active NPI

Vine Care Center Inc

  • Mental Health Counselor
  • Beaumont, CA
National Provider Identifier
1548465347
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
330079AN Issued in CA
Legal business name
VINE CARE CENTER INC
Practice address
890 Oak Valley Pkwy
C
Beaumont, CA 92223-8701
Phone
(951) 845-7774
Fax
(951) 845-0449
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Mrs. Nkechi Perpetua Anwuli
Title
Quality Control Officer
Phone
(951) 677-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 330079AN CA Primary

Addresses

Primary practice location

890 Oak Valley Pkwy
C
Beaumont, CA 92223-8701

Mailing address

890 Oak Valley Pkwy
C
Beaumont, CA 92223-8701
Phone (951) 845-7774

National Provider Directory

National Provider Directory
Tax ID family
Vine Care Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

890 Oak Valley Pkwy
Ste C
Beaumont, CA 92223
Phone (951) 845-7774

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1548465347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 OAK VALLEY PKWY",
            "address_2": "C",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238701",
            "telephone_number": "951-845-7774",
            "fax_number": "951-845-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 OAK VALLEY PKWY",
            "address_2": "C",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238701",
            "telephone_number": "951-845-7774",
            "fax_number": "951-845-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "ANWULI",
        "authorized_official_first_name": "NKECHI",
        "authorized_official_middle_name": "PERPETUA",
        "authorized_official_title_or_position": "QUALITY CONTROL OFFICER",
        "authorized_official_telephone_number": "951-677-7900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "330079AN",
            "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 Apr 7, 2009; 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.