Primary Reliance Inc. in La Puente - Assisted Living, Mental Illness
Primary Reliance Inc. - NPI 1821133018
Primary Reliance Inc. is a Assisted Living, Mental Illness in La Puente, California. Primary Reliance Inc. practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Primary Reliance Inc. is 1821133018. The last update date is 2020-08-22.
Primary Reliance Inc.'s current location address is 16212 Benwick St, La Puente, California. You can contact this provider via phone number 6269172412. The mailing address for Primary Reliance Inc. is 16212 Benwick St, La Puente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primary Reliance Inc. |
|---|---|
| Address | 16212 Benwick St, La Puente, California |
| Phone Number | 6269172412 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Green Celestine |
| Telephone Number | 6263393913 |
NPI Number Detail
| NPI Number | 1821133018 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 16212 Benwick St |
|---|---|
| City | La Puente |
| State | California (CA) |
| Post Code | 917441301 |
| Phone Number | 6269172412 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC60678F | CA | ICF DDH - BENWICK |
Post Comment/ Review Below
What is the unique identifier code issued to Primary Reliance Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Primary Reliance Inc. has been assigned the NPI (National Provider Identifier) 1821133018. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Primary Reliance Inc. is located?
The Primary Reliance Inc. is situated at the following address: 16212 Benwick St, La Puente, CA, 917441301.
What is Primary Reliance Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Primary Reliance Inc.'s specialized field of practice is Assisted Living, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 3104A0625X.
On what date was the 1821133018 assigned to Primary Reliance Inc.?
The Primary Reliance Inc. was issued its 1821133018 on 2007-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Primary Reliance Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Primary Reliance Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.