Active NPI
Eminence Healthcare Services, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Fresno, CA
National Provider Identifier
1629519871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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- Corcoran, CA
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- NPI 1588105720
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- Reedley, CA
- NPI 1588849905
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- NPI 1619152634
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National Provider Directory
National Provider Directory- Tax ID family
- Eminence Healthcare Services LLC
Locations
4330 E Garland Ave
Fresno, CA 93726
Phone (559) 248-7080
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
- Eminence Healthcare Services, LLC
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.