Primary Reliance Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PRIMARY RELIANCE INC.

Practice address

16212 Benwick St
La Puente, CA 91744-1301

Phone

(626) 917-2412

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Celestine Green

Title

President

Phone

(626) 339-3913

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Primary Reliance Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Primary Reliance Inc

  • Assisted Living Facility (Mental Illness)
  • San Dimas, CA
  • NPI 1205950714
  NPD tax ID
• Primary Reliance Inc

  • Assisted Living Facility (Mental Illness)
  • Pomona, CA
  • NPI 1376667873
  NPD tax ID

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821133018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N STEPHORA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243152",
            "telephone_number": "626-339-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16212 BENWICK ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441301",
            "telephone_number": "626-917-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY RELIANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CELESTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-339-3913",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF DDH - BENWICK",
            "identifier": "LTC60678F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lissette Pinedo
• Georgina Pinto, SOCIAL WORK
• Suk Yi Chloe Poon
• Sharon Lynn Porter
• Elsie Marie Pride, LMFT
• Pro Fortune Medical Group Inc.
• Brian Qu, PHARMD
• Jimmy Quach
• Tina My Quach
• Brianna Janice Quintana

• Assisted Living Facility (Mental Illness) in La Puente, CA
• Providers in La Puente, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.