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CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES NPI 1154413854


NPI Information

NPI: 1154413854
Provider Name: CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 05D0891793

Address:
1744 SOUTH LEWIS RD
CAMARILLO, CA
ZIP 93012
Phone: (805) 445-7800
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CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES is a residential treatment facility emotionally disturbed children in Camarillo, CA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CASA PACIFICA CENTERS FOR CHILDREN AND FAMILIES NPI is 1154413854. The provider is registered as an organization entity type.

The provider's business location address is:

1744 SOUTH LEWIS RD
CAMARILLO, CA
ZIP 93012
Phone: (805) 445-7800
Fax: (805) 987-7237

The provider's authorized official is Shawna Morris .
The authorized official title is Chief Executive Officer and has the following contact phone number (805) 366-4343.

The CLIA number assigned to this NPI record is 05D0891793 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 6/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1050000417OTHERCALIFORNIADEPT. PUBLIC HEALTH LICENSE
2CMM70656FOTHERCALIFORNIAMEDI-CAL LEGACY NUMBER
300275OTHERCALIFORNIADMH LEGAL ENTITY NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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