Active NPI
Heal Ur Wings THP -NMD
- Case Manager/Care Coordinator
- San Bernardino, CA
National Provider Identifier
1881452811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- HEAL UR WINGS THP -NMD
- Practice address
- 4226 Mountain Dr
San Bernardino, CA 92407-3010 - Phone
- (909) 682-5339
- NPI assigned
- Mar 13, 2024
- 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
- Ada E Dimas, MSW
- Title
- Cfo
- Phone
- (909) 682-5339
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4226 Mountain Dr
San Bernardino, CA 92407-3010
Mailing address
4226 Mountain Dr
San Bernardino, CA 92407-3010
Phone (909) 682-5339
Other names 1
- Heal UR Wings
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710288000000",
"number": "1881452811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4226 MOUNTAIN DR",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924073010",
"telephone_number": "909-682-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4226 MOUNTAIN DR",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924073010",
"telephone_number": "909-682-5339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAL UR WINGS THP -NMD",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-13",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A",
"authorized_official_last_name": "DIMAS",
"authorized_official_first_name": "ADA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "909-682-5339",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heal UR Wings",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bernardino, CA
- Loren Racquel Hayes
- Melissa Darlene Hayes, A06500924
- Sarah Elisabeth Hayes, MSW, LCSW
- William C Haynes
- Jennifer Headland
- Health Care Provider Services, Inc.
- Health Diagnostics of California a Professional Corporation
- Health Educators Medical Group
- Health Empowerment Through Active Leadership
- Health Management Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.