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FRIENDS OF THE ELDERLY NPI 1457417867


NPI Information

NPI: 1457417867
Provider Name: FRIENDS OF THE ELDERLY

Doing Business As: VENTURA COASTAL ADULT DAY CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 05D2138746

Address:
4221 E MAIN ST
SUITE C
VENTURA, CA
ZIP 93003
Phone: (805) 650-1190
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FRIENDS OF THE ELDERLY is an adult day care clinic center in Ventura, CA. FRIENDS OF THE ELDERLY NPI is 1457417867. The provider is registered as an organization entity type.
The provider Is Doing Business As Ventura Coastal Adult Day Center.

The provider's business location address is:

4221 E MAIN ST
SUITE C
VENTURA, CA
ZIP 93003-285
Phone: (805) 650-1190
Fax: (805) 650-1191

The provider's authorized official is Andrew Shagal .
The authorized official title is Administrator and has the following contact phone number (805) 650-1190.

The CLIA number assigned to this NPI record is 05D2138746 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.


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
1261QA0600XClinic/CenterAdult Day CareCALIFORNIAYes

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
1ADU70271FMEDICAIDCALIFORNIA

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: 5/5/2024

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