Our Lady of Guadalupe Home
Intermediate care facility for individuals with intellectual disabilities in Port Hueneme, CA, Medicare certification number 55G103.
Medicare certification
Provider of Services- CCN
- 55G103
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (non-profit)
- Participating since
- Jun 12, 1997
- Last certification
- Jun 11, 2025
- Beds
- 6
- Address
- 1474 North 5th Street
Port Hueneme, CA 93041
(805) 240-9450
NPI records for this facility 1
-
- Intellectual Disabilities Intermediate Care Facility
- Port Hueneme, CA
- NPI 1447224381
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.