OUR LADY OF GUADALUPE (NPI# 1447224381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447224381 |
Entity Type | Organization |
Organization Name | OUR LADY OF GUADALUPE |
Other Organization Name | MJV HEALTH CARE CORPORATION |
Practice Address |
1474 N 5th St Port Hueneme CA 93041-2205 |
Mailing Address |
2311 E Chevy Chase Dr Glendale CA 91206-1811 |
Practice Telephone | 8054879757 |
Practice Fax Number | 8054879757 |
Mailing Telephone | 8054879757 |
Mailing Fax Number | 8054879757 |
Enumeration Date | 2006-02-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. NORMA VELASCO (OWNER) |
Authorized Official Telephone | 8054879757 |
Authorized Official Credential | PRESIDENT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LTC60799F | 05 |
Other Name | Type Code |
---|---|
MJV HEALTH CARE CORPORATION | Other Name - Individual/Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | OUR LADY OF GUADALUPE CATHOLIC CHURCH OF BOARDMAN, INC. | 78922 Olson Rd, Boardman, OR 97818 |
Virginia Business Entities | OUR LADY OF GUADALUPE FOUNDATION INC. | 44347 Babbling Brook Ter, #102, Ashburn, Virginia 20147 |
Massachusetts Corporations | OUR LADY OF GUADALUPE HOME FOUNDATION, INC. | 21 Merchants Row, Rutland, VT 05701 |
Connecticut Business Registrations | OUR LADY OF GUADALUPE HOME FOUNDATION, INC. | P.o. Box 9273, New Haven, CT 06533 |
New York State Corporations | OUR LADY OF GUADALUPE ROSARIANS | 450 Piermont Ave., Piermont, Ny 10968 |
Street Address |
1474 N 5TH ST |
City | PORT HUENEME |
State | CA |
Zip Code | 93041-2205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629592605 | Andrew Guilmond Nadeau | Military Health Care Provider | 1183 North Ventura Road, Port Hueneme, CA 93041 | 2017-08-01 |
1861861221 | Norma Martinez | Non-emergency Medical Transport (VAN) | 160 Sixth Place, Port Hueneme, CA 93041 | 2015-09-16 |
1962813733 | Olga Gutierrez Core | Pharmacist | 248 E Scott St, Port Hueneme, CA 93041 | 2014-05-15 |
1659796647 | Michael George Abasta | Chore Provider | 1534 5th Street, Port Hueneme, CA 93041 | 2014-02-27 |
1669610770 | Dianna Castro | Counselor | 1634 6th Street, Port Hueneme, CA 93041 | 2009-01-27 |
1427266931 | Brian Michael Strahl | Military Health Care Provider | 5 Nmcb 5 Street, Port Hueneme, CA 93041 | 2007-05-18 |
1518094291 | Alireza Sharifzadeh Dds Inc | Dentist | 460 E Pleasant Valley Rd, #b, Port Hueneme, CA 93041 | 2007-02-28 |
1306991807 | Dennis L Tank Dds PC | Dentist | 475 W Channel Islands Blvd, 203, Port Hueneme, CA 93041 | 2007-01-24 |
1538224001 | Tri Duc Duong | Dentist | 329 E Hueneme Rd, Port Hueneme, CA 93041 | 2006-12-26 |
1891857967 | Darryl William Priest | Dentist | 501 West Channel Islands Blvd, Suite 205, Port Hueneme, CA 93041 | 2006-12-15 |
Find all providers in zip 93041 |
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 |
---|---|---|---|---|
1710951652 | Mjv Health Care Corp | Intermediate Care Facility, Mentally Retarded | 981 Gill Ave, Port Hueneme, CA 93041 | 2006-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215545538 | Vine Valley Homes II | Intermediate Care Facility, Mentally Retarded | 8400 Bellingham Ave, Sun Valley, CA 91352-3803 | 2020-07-22 |
1841811791 | Young Walker Inc. | Intermediate Care Facility, Mentally Retarded | 14 Deer Ct, Sacramento, CA 95823-4402 | 2020-05-01 |
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 |
City | PORT HUENEME |
Zip Code | 93041 |
Please comment or provide details below to improve the information on OUR LADY OF GUADALUPE.
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.