Active NPI
Epidaurus
Doing business as Amity Foundation
- Case Management Agency
- Moreno Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- EPIDAURUS
- Doing business as
- Amity Foundation
- Practice address
- 13800 Heacock St Ste C224
Moreno Valley, CA 92553-6267 - Phone
- (323) 387-9146
- NPI assigned
- Jul 9, 2025
- Last updated
- Jul 9, 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
- Olga Mellizo
- Title
- Chief Development Officer
- Phone
- (970) 889-2351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
13800 Heacock St Ste C224
Moreno Valley, CA 92553-6267
Mailing address
PO Box 3043
Tucson, AZ 85702-3043
Phone (520) 910-0401
Other names 1
- Amity Foundation
National Provider Directory
National Provider Directory- Tax ID family
- Amity Foundation
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Amity Foundation
- Substance Use Disorder Rehabilitation Clinic/Center
- Vista, CA
- NPI 1417434176
-
dba Amity Foundation
- Substance Use Disorder Rehabilitation Clinic/Center
- Tucson, AZ
- NPI 1831968551
-
dba Amity Foundation
- Substance Abuse Rehabilitation Facility
- Tucson, AZ
- NPI 1861505901
Locations
13800 Heacock St
Ste C224
Moreno Valley, CA 92553
Phone (323) 387-9146
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Licensed Vocational Nurse
- Moreno Valley, CA
- NPI 1336026285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752019200000",
"number": "1639060668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3043",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857023043",
"telephone_number": "520-910-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 HEACOCK ST STE C224",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925536267",
"telephone_number": "323-387-9146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIDAURUS",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-09",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A",
"authorized_official_last_name": "MELLIZO",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER",
"authorized_official_telephone_number": "970-889-2351"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amity Foundation",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.