CAMARILLO COMMUNITY CARE, INC. (NPI# 1215924725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215924725 |
| Entity Type | Organization |
| Organization Name | CAMARILLO COMMUNITY CARE, INC. |
| Other Organization Name | CAMARILLO HEALTHCARE CENTER |
| Practice Address |
205 Granada St Camarillo CA 93010-7715 |
| Practice Telephone | 8054829805 |
| Practice Fax Number | 8053888242 |
| Mailing Telephone | 8054829805 |
| Mailing Fax Number | 8053888242 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SOON E. BURNAM (AUTHORIZED AGENT) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Camarillo Healthcare Center | Doing Business As Name - Organization |
| Street Address |
205 GRANADA ST |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-7715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068997 | Claire Alexandra Cowley | Speech-Language Pathologist | 205 Granada St, Camarillo, CA 93010-7715 | 2019-02-04 |
| 1831653575 | Nikita Sunny | Occupational Therapist | 205 Granada St, Camarillo, CA 93010-7715 | 2019-01-28 |
| 1336603208 | Lacey Chrystal Smith | Occupational Therapist | 205 Granada St, Camarillo, CA 93010-7715 | 2019-01-24 |
| 1003359183 | Candice Bugh | Occupational Therapist | 205 Granada St, Camarillo, CA 93010-7715 | 2016-11-22 |
| 1154863785 | Antonio Escudero | Physical Therapy Assistant | 205 Granada St, Camarillo, CA 93010-7715 | 2016-11-14 |
| 1598207177 | Gabriel Alcala | Physical Therapist | 205 Granada St, Camarillo, CA 93010-7715 | 2016-11-14 |
| 1184166829 | Latoya Ecuyer | Occupational Therapy Assistant | 205 Granada St, Camarillo, CA 93010-7715 | 2016-11-11 |
| 1811439698 | Philip Samaniego | Physical Therapy Assistant | 205 Granada St, Camarillo, CA 93010-7715 | 2016-11-10 |
| 1881136562 | Lisa Devillers | Occupational Therapy Assistant | 205 Granada St, Camarillo, CA 93010-7715 | 2016-11-10 |
| 1689629198 | Vericare of California Medical Group | Social Worker | 205 Granada St, Camarillo, CA 93010-7715 | 2006-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780129205 | White Doves Home Care, LLC | Skilled Nursing Facility | 390 Fulton St, Camarillo, CA 93010-6545 | 2016-12-20 |
| 1508308941 | Ensign | Skilled Nursing Facility | 680 Corte Regalo, Camarillo, CA 93010-9107 | 2016-11-16 |
| 1992750277 | Sunrise Senior Living Services, Inc | Skilled Nursing Facility | 6000 Santa Rosa Rd, Camarillo, CA 93012-7101 | 2006-05-24 |
| 1962811877 | S-h Opco Camarillo, LLC | Skilled Nursing Facility | 6000 Santa Rosa Rd, Camarillo, CA 93012-7101 | 2014-08-05 |
| 1952716375 | S-h Opco Camarillo, LLC | Skilled Nursing Facility | 6000 Santa Rosa Rd, Camarillo, CA 93012-7101 | 2014-06-24 |
| 1912215203 | Emericare Inc | Skilled Nursing Facility | 6000 Santa Rosa Rd, Camarillo, CA 93012-7101 | 2010-09-20 |
| 1194877332 | Dignity Health | Skilled Nursing Facility | 2309 Antonio Ave, Camarillo, CA 93010-1414 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
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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.