Organization Active NPI

Amvicare Home Health Inc.

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1003487588
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMVICARE HOME HEALTH INC.
Practice address
4195 Valley Fair St Ste 107a
Simi Valley, CA 93063-2951
Phone
(800) 591-5817
Fax
(844) 378-8297
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Milagros A Victoria, RN
Title
Ceo
Phone
(650) 278-6549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4195 Valley Fair St Ste 107a
Simi Valley, CA 93063-2951

Mailing address

4195 Valley Fair St Ste 107a
Simi Valley, CA 93063-2951
Phone (800) 591-5817

National Provider Directory

National Provider Directory

Locations

4195 Valley Fair St
Ste 107A
Simi Valley, CA 93063
Phone (800) 591-5817

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1003487588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 VALLEY FAIR ST STE 107A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632951",
            "telephone_number": "800-591-5817",
            "fax_number": "844-378-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 VALLEY FAIR ST STE 107A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632951",
            "telephone_number": "800-591-5817",
            "fax_number": "844-378-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMVICARE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "VICTORIA",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-278-6549",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.