Organization Active NPI

Eminence Healthcare Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fresno, CA
National Provider Identifier
1629519871
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EMINENCE HEALTHCARE SERVICES, LLC
Practice address
4330 E Garland Ave
Fresno, CA 93726-6102
Phone
(559) 221-8100
NPI assigned
Mar 20, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Juan Garza II
Title
Ceo
Phone
(559) 221-8100

Corporate family (same tax ID) 40

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

View all 40

National Provider Directory

National Provider Directory
Tax ID family
Eminence Healthcare Services LLC (41 organizations share this tax ID)

Locations

4330 E Garland Ave
Fresno, CA 93726
Phone (559) 248-7080

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

NPPES NPI Registry

Primary practice location

4330 E Garland Ave
Fresno, CA 93726-6102

Mailing address

PO Box 27707
Fresno, CA 93729-7707
Phone (559) 221-8100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2017.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1629519871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27707",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937297707",
            "telephone_number": "559-221-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 E GARLAND AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266102",
            "telephone_number": "559-221-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-221-8100",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

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