ASSISTED HOME CARE INC NPI 1215983127

NPI Information

NPI: 1215983127
Provider Name: ASSISTED HOME CARE, INC

Doing Business As: ASSISTED HOME HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
72 MOODY COURT
SUITE 201
THOUSAND OAKS, CA
ZIP 91360
Phone: (805) 379-1616
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ASSISTED HOME CARE, INC is a hospice care community based in Thousand Oaks, CA. ASSISTED HOME CARE, INC NPI is 1215983127. The provider is registered as an organization entity type.
The provider Is Doing Business As Assisted Home Hospice.

The provider's business location address is:

72 MOODY COURT
SUITE 201
THOUSAND OAKS, CA
ZIP 91360-067
Phone: (805) 379-1616
Fax: (805) 379-4848

The provider's authorized official is Michael Donley .
The authorized official title is Coo and has the following contact phone number (805) 371-9988.

The CLIA number assigned to this NPI record is 05D0900143 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 12/1/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HPCO1634G	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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