PROMESA BEHAVIORAL HEALTH-MINARETS – NPI #1871088138
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

PROMESA BEHAVIORAL HEALTH-MINARETS is a community based residential treatment facility located in FRESNO, CA. NPPES has assigned the NPI number 1871088138 to PROMESA BEHAVIORAL HEALTH-MINARETS on June 28, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROMESA BEHAVIORAL HEALTH-MINARETS” is a dba name, the actual legal business name for this organization is PROMESA BEHAVIORAL HEALTH. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was last updated on Sep 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROMESA BEHAVIORAL HEALTH-MINARETS below.

NPI Profile for
PROMESA BEHAVIORAL HEALTH

NPI Number
1871088138
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROMESA BEHAVIORAL HEALTH
Doing Business As (dba): PROMESA BEHAVIORAL HEALTH-MINARETS
Primary location
718 E MINARETS AVE
FRESNO, CA 93720
Phone: (559) 439-5437 Fax:
Mailing address
7120 N MARKS AVE STE 110
FRESNO, CA 93711-0268
Phone: (559) 341-2394 Fax:
Organization Subpart
No
Authorized Official
AMANDA REED
DIRECTOR
Phone: (559) 439-5437
Updated
Certification Date
Sep 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PROMESA BEHAVIORAL HEALTH-MINARETS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA101044
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
CA 100407405

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.