INLAND EMPIRE BEHAVIORAL GROUP NURSING CORPORATION
NPI 1104570282
Clinic/Center - Multi-Specialty in Riverside, CA

Q: What is Inland Empire Behavioral Group Nursing Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since February 08, 2022

11801 PIERCE ST STE 200, RIVERSIDE, CA 92505(909) 429-3244(909) 981-0821 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Nov 1, 2023, May 22, 2023 and 1 more (4 updates tracked since 2022).

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About Inland Empire Behavioral Group Nursing Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INLAND EMPIRE BEHAVIORAL GROUP NURSING CORPORATION (NPI 1104570282) is a healthcare organization registered as a multi-specialty in Riverside, California and active in the NPI registry since February 2022. The organization maintains a secondary practice location in Colton and lists Khadija Hamuche Hamisi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104570282

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameINLAND EMPIRE BEHAVIORAL GROUP NURSING CORPORATION

Location Address11801 PIERCE ST STE 200Riverside, CA 92505-3907

Mailing Address1747 Steinman StRiverside, CA 92507-7809 · (909) 429-3244

Phone(909) 429-3244

Fax(909) 981-0821

Organization SubpartNo

Authorized OfficialKhadija Hamuche HamisiCeo · (909) 429-3224

Enumeration DateFebruary 8, 2022

Last NPPES UpdateApril 23, 20244 updates tracked since enumeration

NPPES CertifiedApril 23, 2024

✔ NPI 1104570282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

11801 PIERCE ST STE 200, Riverside, CA 92505

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Secondary Practice Location 1

Location 11003 E Cooley Dr Ste 211Colton, CA 92324-3907 · Phone (909) 429-3244 · Fax (909) 981-0821

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOSELIN CARO MARTINEZ

Behavior Technician