Provider Demographics
NPI:1184453672
Name:316 MANAGEMENT GROUP, LLC
Entity type:Organization
Organization Name:316 MANAGEMENT GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BENCITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-728-7777
Mailing Address - Street 1:16379 E PRESERVE LOOP UNIT 2140
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91708-9407
Mailing Address - Country:US
Mailing Address - Phone:909-728-7777
Mailing Address - Fax:
Practice Address - Street 1:16379 E PRESERVE LOOP UNIT 2140
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91708-9407
Practice Address - Country:US
Practice Address - Phone:909-728-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral CareGroup - Single Specialty