Organization Active NPI

Willowembrace Home Care Services LLC

  • In Home Supportive Care Agency
  • Simi Valley, CA
National Provider Identifier
1003733197
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WILLOWEMBRACE HOME CARE SERVICES LLC
Practice address
106 Silver Fern CT
Simi Valley, CA 93065-6716
Phone
(805) 791-8629
NPI assigned
Jun 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Ma Adelaine Rizardo Koch
Title
Ceo/Administrator
Phone
(805) 791-8629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

106 Silver Fern CT
Simi Valley, CA 93065-6716

Mailing address

106 Silver Fern CT
Simi Valley, CA 93065-6716
Phone (805) 791-8629

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1003733197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SILVER FERN CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656716",
            "telephone_number": "805-791-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SILVER FERN CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656716",
            "telephone_number": "805-791-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWEMBRACE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "MA ADELAINE",
        "authorized_official_middle_name": "RIZARDO",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "805-791-8629"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jun 30, 2026; 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.