Organization Active NPI

Eminence Healthcare Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Helm, CA
National Provider Identifier
1922478734
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EMINENCE HEALTHCARE SERVICES, LLC
Practice address
13883 S Lassen Ave
Rooms 1 & 2
Helm, CA 93627-9900
Phone
(559) 917-1635
NPI assigned
Oct 6, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Juan Garza II
Title
Ceo
Phone
(559) 221-8100

National Provider Directory

National Provider Directory
Tax ID family
Eminence Healthcare Services LLC41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

NPPES NPI Registry

Primary practice location

13883 S Lassen Ave
Rooms 1 & 2
Helm, CA 93627-9900

Mailing address

PO Box 27707
Fresno, CA 93729-7707
Phone (559) 221-8100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2017.

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1922478734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27707",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937297707",
            "telephone_number": "559-221-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13883 S LASSEN AVE",
            "address_2": "ROOMS 1 & 2",
            "city": "HELM",
            "state": "CA",
            "postal_code": "936279900",
            "telephone_number": "559-917-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-221-8100",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.