INNOVATIVE SENIOR CARE REHABILITATION AGENCY OF LOS ANGELES LLC (NPI# 1851533475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851533475 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SENIOR CARE REHABILITATION AGENCY OF LOS ANGELES LLC |
| Other Organization Name | INNOVATIVE SENIOR CARE |
| Practice Address |
921 E Main St Ste B Ventura CA 93001-3077 |
| Mailing Address |
111 Westwood Pl Ste 200 Brentwood TN 37027-5021 |
| Practice Telephone | 6155648034 |
| Mailing Telephone | 6152212250 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |
| Authorized Official Name | MS. JULIE MCGLASSON (SR. DIRECTOR REGULATORY PRACTICES) |
| Authorized Official Telephone | 6155648034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Innovative Senior Care | Doing Business As Name - Organization |
| Street Address |
921 E MAIN ST STE B |
| City | VENTURA |
| State | CA |
| Zip Code | 93001-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134288236 | Trudy Bennett | Speech-Language Pathologist | 921 E Main St, Ste B, Ventura, CA 93001 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929739 | Christine Yana Barna | Counselor | 641 E Thompson Blvd, Ventura, CA 93001 | 2020-07-08 |
| 1477024222 | 4 Kids 2 Kids | Psychiatric Residential Treatment Facility | 9223 Nye Road, Ventura, CA 93001 | 2018-12-05 |
| 1578046884 | Michelle Aquino | Counselor | 2222 Channel Dr, Ventura, CA 93001 | 2018-09-12 |
| 1700379096 | Terrence Swanson | Counselor | 125 W Harrison Ave Apt A, Ventura, CA 93001 | 2018-06-11 |
| 1376055012 | Bridge & Temple Inc | Optometrist | 828 E Main Street, Ventura, CA 93001 | 2017-11-03 |
| 1578073763 | Karin Huang | Counselor | 2001, 28th St, Bakerfield, CA 93001 | 2017-10-03 |
| 1487170346 | Stephanie Martello | Counselor | 864 East Santa Clara Street, Ventura, CA 93001 | 2017-08-22 |
| 1477080885 | Isabel Ojeda-cobaruvias | Specialist/Technologist | 1234 E. Main Street, Ventura, CA 93001 | 2017-05-16 |
| 1902219413 | Julio Perez | Specialist/Technologist | 1234 Main St., Ventura, CA 93001 | 2014-06-03 |
| 1417380478 | Lacey Piper | Dietitian, Registered | 2841 Harbor Blvd., Ventura, CA 93001 | 2013-08-14 |
| Find all providers in zip 93001 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487845400 | Equilibrium Balance Performance Center Physical Therapy A Prof. Corp. | Clinic/Center | 1673 Donlon St Ste 201, Ventura, CA 93003-5668 | 2007-08-06 |
| 1932327830 | Coastal Physical Therapy, Inc. | Clinic/Center | 5725 Ralston St Ste 103, Ventura, CA 93003-6053 | 2007-04-23 |
| 1205878865 | Blayne Liparoto | Clinic/Center | 4572 Telephone Rd, Suite 903, Ventura, CA 93003-5662 | 2006-06-11 |
| 1841299286 | Simi Valley Therapies West, Inc. | Clinic/Center | 4080 Loma Vista Rd, Ventura, CA 93003 | 2005-07-19 |
| 1215431093 | Pow Physical Therapy, A Professional Corporation | Clinic/Center | 4601 Telephone Rd Ste 107, Ventura, CA 93003-5671 | 2018-03-19 |
| 1275814022 | Williams Physical Therapy, Inc | Clinic/Center | 970 Petit Ave, Suite A, Ventura, CA 93004-2215 | 2011-09-07 |
| 1346577533 | Abigail Brower | Clinic/Center | 5725 Ralston St, Suite 103, Ventura, CA 93003-6053 | 2009-11-09 |
| 1770810087 | Darryl Williams | Clinic/Center | 5725 Ralston St, Suite 103, Ventura, CA 93003-6053 | 2009-11-06 |
| 1699001685 | Coastal Physical Therapy Inc | Clinic/Center | 5725 Ralston St, #103, Ventura, CA 93003-6053 | 2009-10-26 |
| 1538356191 | Core Integration Physical Therapy | Clinic/Center | 2112 Eastman Ave, Suite 101, Ventura, CA 93003-5773 | 2007-09-27 |
| Find all providers in VENTURA | ||||
Please comment or provide details below to improve the information on INNOVATIVE SENIOR CARE REHABILITATION AGENCY OF LOS ANGELES LLC.
| 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.