EPIPHANY CARE HOMES INC (NPI# 1144357252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144357252 |
Entity Type | Organization |
Organization Name | EPIPHANY CARE HOMES INC |
Other Organization Name | STARFISH HOME ICF/DD-N |
Practice Address |
994 Phoenix Ave Ventura CA 93004-2207 |
Mailing Address |
1331 Doris Ave Oxnard CA 93030-4409 |
Practice Telephone | 8054858111 |
Practice Fax Number | 8054858170 |
Mailing Telephone | 8054858111 |
Mailing Fax Number | 8054858170 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2011-09-19 |
Authorized Official Name | MR. MATTHEW STEINORTH (PRESIDENT) |
Authorized Official Telephone | 8054858111 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LTC80208G | 05 |
Other Name | Type Code |
---|---|
STARFISH HOME ICF/DD-N | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679600332 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 2090 Bolivar Ct, Simi Valley, CA 93063-2761 | 2007-02-28 |
1497882591 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 1260 Indigo Pl, Oxnard, CA 93036-1510 | 2007-02-27 |
1194852988 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 1621 Sophia Dr, Oxnard, CA 93030-3288 | 2007-02-27 |
1235266479 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 1910 Rhonda St, Oxnard, CA 93036-7732 | 2007-02-27 |
1457488538 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 2929 Texas Ave, Simi Valley, CA 93063-1954 | 2007-02-27 |
1558498683 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 3224 Wilmot St, Simi Valley, CA 93063-2656 | 2007-02-27 |
1467589614 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 1101 Ivywood Dr, Oxnard, CA 93030-3415 | 2007-02-27 |
1720115934 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 750 Kentwood Dr, Oxnard, CA 93030-3451 | 2007-02-27 |
1184751232 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 2127 N Justin Ave, Simi Valley, CA 93065-2544 | 2007-02-27 |
1083741151 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 2331 Knollhaven St, Simi Valley, CA 93065-2528 | 2007-02-27 |
Street Address |
994 PHOENIX AVE |
City | VENTURA |
State | CA |
Zip Code | 93004-2207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154877181 | April Lacanilao | Licensed Vocational Nurse | 8415 Newtown St., Ventura, CA 93004 | 2016-08-30 |
1447633003 | Fernando Maldonado IIi | Pharmacist | 9308-b Telephone Rd, Ventura, CA 93004 | 2015-07-01 |
1669761532 | Ted Wrablik | Counselor | 9050 Feather Street, Ventura, CA 93004 | 2011-03-31 |
1659689446 | Kathleen Anne Highly | Psychologist | Clinicas Del Camino Real, Incorporated, 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2010-09-15 |
1518283191 | Arturo Alamillo Vargas | Social Worker | 200 S, Wells Rd., Suite 200, Ventura, CA 93004 | 2010-04-08 |
1891929949 | Roxanne Gaggs | Occupational Therapist | 2387 Portola Drive, Suite A, Ventura, CA 93004 | 2009-05-05 |
1760623599 | Colleen Copelan, M.d. Inc | Psychiatry & Neurology | 970 South Petit Ave., Suite A, Ventura, CA 93004 | 2009-03-06 |
1770720401 | Maria G. Hernandez | Social Worker | 200 S. Wells Rd., Suite 250, Clinicas Del Camino Real, Incorporate, Ventura, CA 93004 | 2009-01-16 |
1275725376 | Diane M. Sanchez | Music Therapist | 200 S. Wells Rd., Suite 200, Ventura, CA 93004 | 2007-08-13 |
1487863643 | Richard Dale Story | Pharmacist | 681 Topeka Ave, Ventura, CA 93004 | 2007-05-22 |
Find all providers in zip 93004 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659407054 | Normal Life California | Intermediate Care Facility, Mentally Retarded | 1755 Potomac Ave, Ventura, CA 93004-3118 | 2007-02-27 |
1982730859 | Normal Life California | Intermediate Care Facility, Mentally Retarded | 228 Petit Ave, Ventura, CA 93004-1744 | 2007-02-26 |
1477528289 | Horizon House II | Intermediate Care Facility, Mentally Retarded | 2169 Ermine Ave, Ventura, CA 93003-6812 | 2006-02-23 |
1265409049 | Horizon House I | Intermediate Care Facility, Mentally Retarded | 2169 Ermine Ave, Ventura, CA 93003-6812 | 2006-03-01 |
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1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.