Healthcare Provider Details

I. General information

NPI: 1457281560
Provider Name (Legal Business Name): VITALINK TRANSITIONAL HOUSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 ELM AVE
SAN BERNARDINO CA
92404-5701
US

IV. Provider business mailing address

7820 MORNINGSIDE LN
HIGHLAND CA
92346-5875
US

V. Phone/Fax

Practice location:
  • Phone: 909-353-7864
  • Fax: 800-891-8775
Mailing address:
  • Phone: 909-353-7864
  • Fax: 800-891-8775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LUCY YANEZ
Title or Position: CEO/FOUNDER
Credential:
Phone: 909-353-7864