Organization Active NPI

Valley Restart Shelter

  • Case Manager/Care Coordinator
  • Hemet, CA
National Provider Identifier
1669348702
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
VALLEY RESTART SHELTER
Practice address
200 E Menlo Ave
Hemet, CA 92543-1432
Phone
(951) 306-6125
Fax
(951) 925-0566
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Ms. Diana Rosemary Gathercole-Hagy
Title
Executive Director
Phone
(951) 306-6125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

200 E Menlo Ave
Hemet, CA 92543-1432

Mailing address

200 E Menlo Ave
Hemet, CA 92543-1432
Phone (951) 306-6125

National Provider Directory

National Provider Directory

Locations

200 E Menlo Ave
Hemet, CA 92543
Phone (951) 306-6125

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1669348702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MENLO AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431432",
            "telephone_number": "951-306-6125",
            "fax_number": "951-925-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MENLO AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431432",
            "telephone_number": "951-306-6125",
            "fax_number": "951-925-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RESTART SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "GATHERCOLE-HAGY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "ROSEMARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-306-6125",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.