NPIMap

Organization Active NPI

Berhe Group Home, Inc.

Doing business as The Berhe Group

  • Community/Behavioral Health Agency
  • San Bernardino, CA
National Provider Identifier
1609392729
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
366401098 Issued in CA
Legal business name
BERHE GROUP HOME, INC.
Doing business as
The Berhe Group
Practice address
1604 N Pennsylvania Ave
San Bernardino, CA 92411-1171
Phone
(909) 887-0160
Fax
(909) 890-1043
NPI assigned
Aug 21, 2017
Last updated
Aug 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Authorized official

Name
Judy G Berhe, BA
Title
Ceo/Administrator
Phone
(909) 890-1041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 366401098 CA Primary

Addresses

Primary practice location

1604 N Pennsylvania Ave
San Bernardino, CA 92411-1171

Mailing address

1845 Business Center Dr Ste 208
San Bernardino, CA 92408-3447
Phone (909) 890-1041

Other names 1

  • The Berhe Group Doing business as

National Provider Directory

National Provider Directory

Locations

1845 Business Center Dr
Ste 208
San Bernardino, CA 92408
Phone (909) 890-1041

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1609392729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR STE 208",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083447",
            "telephone_number": "909-890-1041",
            "fax_number": "909-890-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 N PENNSYLVANIA AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111171",
            "telephone_number": "909-887-0160",
            "fax_number": "909-890-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERHE GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "BERHE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "909-890-1041",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "366401098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Berhe Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 2017; 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.