EPIPHANY CARE HOMES INC (NPI# 1578701173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578701173 |
| Entity Type | Organization |
| Organization Name | EPIPHANY CARE HOMES INC |
| Other Organization Name | RURAL HAVEN HOME ICF/DD-H |
| Practice Address |
431 Saratoga St Fillmore CA 93015-1531 |
| Mailing Address |
1331 Doris Ave Oxnard CA 93030-4409 |
| Practice Telephone | 8055244003 |
| Practice Fax Number | 8054858170 |
| Mailing Telephone | 8054858111 |
| Mailing Fax Number | 8054858170 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |
| Authorized Official Name | MR. MATTHEW STEINORTH (PRESIDENT) |
| Authorized Official Telephone | 8054858111 |
| Is Organization Subpart | Y |
| Parent Organization Name | EPIPHANY CARE HOMES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 050000507 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Rural Haven Home ICF/DD-H | 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 |
| 1144357252 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 994 Phoenix Ave, Ventura, CA 93004-2207 | 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 |
| Street Address |
431 SARATOGA ST |
| City | FILLMORE |
| State | CA |
| Zip Code | 93015-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245201284 | Rural Haven | Intermediate Care Facility, Mentally Retarded | 431 Saratoga St, Fillmore, CA 93015-1531 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003471830 | Sarah Jeanette Ettinger | Student in an Organized Health Care Education/Training Program | Sbcd, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1518522341 | Elizabeth Pandian | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1407350549 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 328 Central Ave, Fillmore, CA 93015 | 2018-03-22 |
| 1366689358 | Kelly Lynn Brooks | Physician Assistant | 828 Ventura St Ste 100, Fillmore, CA 93015 | 2009-01-13 |
| 1356560718 | Ventura County Behavioral Health | Community/Behavioral Health | 828 W Ventura St Ste 240, Fillmore, CA 93015 | 2007-04-24 |
| 1487726766 | Alejandro Echeverry | Dentist | 1317 Ventura St, Suite C, Fillmore, CA 93015 | 2006-11-14 |
| 1265545321 | Nasr N Anees | Family Medicine | 355 Central Avenue, Clinicas Del Camino Real, Inc, Fillmore, CA 93015 | 2006-08-15 |
| 1487219358 | Roxana Ardebili | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1235794009 | Philip Wan | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
| 1679138531 | Gretel Dayna D'souza | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
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| 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 |
|---|---|---|---|---|
| 1245201284 | Rural Haven | Intermediate Care Facility, Mentally Retarded | 431 Saratoga St, Fillmore, CA 93015-1531 | 2006-01-28 |
| 1154392181 | Winter Haven | Intermediate Care Facility, Mentally Retarded | 546 Central Ave, Fillmore, CA 93015-1332 | 2006-01-28 |
| 1669610267 | Epiphany Care Homes Inc | Intermediate Care Facility, Mentally Retarded | 546 Central Ave, Fillmore, CA 93015-1332 | 2009-02-04 |
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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 |
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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.