NPIMap

Organization Active NPI

Dunamis Inc Group Home

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
National Provider Identifier
1962637512
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
100086AN Issued in CA
Legal business name
DUNAMIS INC GROUP HOME
Practice address
4991 E McKinley Ave Ste 112&113
Fresno, CA 93727-1900
Phone
(281) 782-5887
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Mr. Orlando Gillam II
Title
Ceo
Phone
(281) 782-5887

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 51-0488512 CA
Mental Illness Community Based Residential Treatment Facility 320800000X 100086AN CA Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 100086AN CA

Addresses

Primary practice location

4991 E McKinley Ave Ste 112&113
Fresno, CA 93727-1900

Mailing address

823 W Sussex Way
Fresno, CA 93705-2021
Phone (281) 782-5887

Other names 1

  • Dunamis Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dunamisinc Group Home28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

4991 E McKinley Ave
Ste 112113
Fresno, CA 93727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1962637512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W SUSSEX WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937052021",
            "telephone_number": "281-782-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 E MCKINLEY AVE STE 112&113",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271900",
            "telephone_number": "281-782-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNAMIS INC GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "GILLAM",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-782-5887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "51-0488512",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "100086AN",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "100086AN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunamis Inc.",
            "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 7, 2013; 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.