OUR LADY OF GUADALUPE


Address: 1474 N 5th St, Port Hueneme, CA 93041-2205
Phone: 8054879757

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded CA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA LTC60799F 05

Other Provider/Organization Names

Other Name Type Code
MJV HEALTH CARE CORPORATION Other Name - Individual/Organization

Other Data Sources

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

Office Location

Street Address 1474 N 5TH ST
City PORT HUENEME
State CA
Zip Code 93041-2205

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PORT HUENEME
Zip Code 93041

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Dataset Information

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.

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