Organization Active NPI

Berhe Group Home Inc.

  • Community/Behavioral Health Agency
  • Fontana, CA
National Provider Identifier
1821618844
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BERHE GROUP HOME INC.
Practice address
9836 Mango LN
Fontana, CA 92335-6790
Phone
(909) 357-0160
Fax
(909) 402-4348
NPI assigned
Apr 20, 2020
Last updated
Apr 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Shaunice CoxNPI 1619537016
Title
Office Assistant
Phone
(909) 713-2016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9836 Mango LN
Fontana, CA 92335-6790

Mailing address

9836 Mango LN
Fontana, CA 92335-6790
Phone (909) 357-0160

National Provider Directory

National Provider Directory
Tax ID family
Berhe Group Home Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1821618844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9836 MANGO LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356790",
            "telephone_number": "909-357-0160",
            "fax_number": "909-402-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9836 MANGO LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356790",
            "telephone_number": "909-357-0160",
            "fax_number": "909-402-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERHE GROUP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "SHAUNICE",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "909-713-2016"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.