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General NPI Number Information
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NPI Number | 1699299180
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Entity Type | Organization
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Legal Business Name | HELPING HEARTS CALIFORNIA, LLC
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 2421 KERN ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92407-6111
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Country | US
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Telephone | 951-591-3557
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Fax |
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Provider Business Mailing Address
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Address Line | 747 N EUCLID AVE
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City | ONTARIO
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State | CA
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Zip | 91762-2711
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Country | US
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Telephone | 602-622-1290
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Fax | 602-926-8036
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Authorized Official
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Title or Position | CEO
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Name | YNEZ C CROSS
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Credential | MBA
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Telephone | 602-622-1290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 361800139
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License Number State | CA
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