Organization Active NPI

Heal Ur Wings THP -NMD

  • Case Manager/Care Coordinator
  • San Bernardino, CA
National Provider Identifier
1881452811
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Mar 13, 2024

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.