Healthcare Provider Details

I. General information

NPI: 1689482028
Provider Name (Legal Business Name): THE FRUIT OF OUR HANDS MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 INDIANA AVE STE 114
RIVERSIDE CA
92506-4155
US

IV. Provider business mailing address

7000 INDIANA AVE STE 114
RIVERSIDE CA
92506-4155
US

V. Phone/Fax

Practice location:
  • Phone: 951-289-9808
  • Fax:
Mailing address:
  • Phone: 951-289-9808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MONICA HUNTER
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 951-201-0514