Surfrider Home ICF/DD-H
Intermediate care facility for individuals with intellectual disabilities in Simi Valley, CA, Medicare certification number 05G465.
Medicare certification
Provider of Services- CCN
- 05G465
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Jul 20, 1990
- Last certification
- Apr 30, 2025
- Beds
- 6
- Address
- 2127 North Justin Avenue
Simi Valley, CA 93065
(805) 583-5160
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Surfrider Home Icf/DD-H
- Intellectual Disabilities Intermediate Care Facility
- Simi Valley, CA
- NPI 1184751232
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.