NPIMap

Organization Active NPI

Core Conditions, Inc.

Doing business as CCI Brawley

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
National Provider Identifier
1891354023
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CORE CONDITIONS, INC.
Doing business as
CCI Brawley
Practice address
114 S Brawley Ave
Fresno, CA 93706-2103
Phone
(559) 261-5083
NPI assigned
Jun 11, 2019
Last updated
Aug 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Curtis DonovanNPI 1033740949
Title
Director
Phone
(559) 261-5083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

114 S Brawley Ave
Fresno, CA 93706-2103

Mailing address

4460 W Shaw Ave # 595
Fresno, CA 93722-6210
Phone (559) 261-5083

Other names 1

  • CCI Brawley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Core Conditions 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 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1891354023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 W SHAW AVE # 595",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226210",
            "telephone_number": "559-261-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S BRAWLEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062103",
            "telephone_number": "559-261-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CONDITIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-261-5083"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCI Brawley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.