SEPULVEDA HOME NURSING CARE CORP. (NPI# 1063025633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063025633 |
| Entity Type | Organization |
| Organization Name | SEPULVEDA HOME NURSING CARE CORP. |
| Practice Address |
2734 Golf Meadows Ct Simi Valley CA 93063-2472 |
| Practice Telephone | 8058421816 |
| Mailing Telephone | 8058421816 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | MR. EDWARD SEPULVEDA (OWNER /CEO) |
| Authorized Official Telephone | 8058421816 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
Nursing & Custodial Care Facilities | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 251J00000X | Nursing Care | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SEPULVEDA HOME NURSING CARE CORP. | 2734 Golf Meadows Ct, Simi Valley, CA 93063-2472 |
| Street Address |
2734 GOLF MEADOWS CT |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93063-2472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1467925727 | Shelly Marie Spencer | Marriage & Family Therapist | 1985 Yosemite Ave Ste # 230, Simi Valley, CA 93063 | 2019-01-09 |
| 1245739150 | Hartounian Dental Group Inc. | Dentist | 4210 E Los Angeles Ave Ste F, Simi Valley, CA 93063 | 2018-02-06 |
| 1932628112 | James Luong | Physician Assistant | 3125 Anasazi Way, Simi Valley, CA 93063 | 2017-09-19 |
| 1598291064 | Golden Translating Services Inc | Community/Behavioral Health | 2112 Ralston Ave, Simi Valley, CA 93063 | 2017-05-03 |
| 1447793799 | Kenneth Miles Belden | Social Worker | 3030 Omega Avenue, Simi Valley, CA 93063 | 2016-11-18 |
| 1164979332 | Megan Zigler | Specialist/Technologist | 2127 Atwater Ave, Simi Valley, CA 93063 | 2016-09-06 |
| 1700273521 | Jean Barker | Pharmacist | 5984 Yana Court, Simi Valley, CA 93063 | 2015-04-20 |
| 1992197248 | Pamela A. Riss | Marriage & Family Therapist | 2775 Tapo Street, Suite 204, Simi Valley, CA 93063 | 2015-02-24 |
| 1245580729 | Mary Aroyan | Marriage & Family Therapist | 3655 Alamo St Ste 202, Simi Valley, CA 93063 | 2012-09-12 |
| Find all providers in zip 93063 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184819039 | Transmed Companion Care Services, Inc. | Nursing Care | 285 Bluffside Ln, Simi Valley, CA 93065-8334 | 2007-09-12 |
| 1205811122 | The Whole Woman, Incorporated | Nursing Care | 2950 Sycamore Dr, Suite #201, Simi Valley, CA 93065-1210 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821224 | Discovery Health Services | Nursing Care | 5726 La Jolla Blvd Ste 104, La Jolla, CA 92037-7342 | 2020-11-04 |
| 1457959496 | Meditas Corporation | Nursing Care | 4068 Park Vista Dr, Pasadena, CA 91107-1322 | 2020-10-13 |
| 1659978328 | La Tanya Wallace | Nursing Care | 3111 Camino Del Rio N Ste 4th, San Diego, CA 92108-5720 | 2020-10-06 |
| 1548874654 | Integral Advanced Nursing Services Corporation | Nursing Care | 4138 Towhee Dr, Calabasas, CA 91302-1823 | 2020-09-04 |
| 1295349777 | Tryfacta, Inc. | Nursing Care | 4637 Chabot Dr Ste 100, Pleasanton, CA 94588-2753 | 2020-09-02 |
| 1174135982 | Queens Manor 2 Home Care | Nursing Care | 248 Amelia Ct, Vista, CA 92084-2587 | 2020-08-21 |
| 1518579192 | Core Nursing, Inc. | Nursing Care | 1513 Portia St, Los Angeles, CA 90026-2651 | 2020-08-17 |
| 1316569189 | Sri Sai Krish Institute | Nursing Care | 12362 Beach Blvd Ste 14, Stanton, CA 90680-3957 | 2020-05-14 |
| 1669008934 | Angenida Hospice LLC | Nursing Care | 14081 Yorba St Ste 201, Tustin, CA 92780-2011 | 2020-03-19 |
| 1396379244 | Beckett Enterprise | Nursing Care | 900 Kincaid Ave # K8, Inglewood, CA 90302-2021 | 2020-03-01 |
| Find all providers with the same taxonomy | ||||
| City | SIMI VALLEY |
| Zip Code | 93063 |
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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.