Brierwood Terrace Ventura Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

050000072 Issued in CA

Legal business name

BRIERWOOD TERRACE VENTURA INC.

Practice address

4904 Telegraph Rd
Ventura, CA 93003-4109

Phone

(805) 642-4101

Fax

(805) 642-0156

NPI assigned

Mar 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brett Watson

Title

Administrator

Phone

(805) 642-4101

Specialties & licenses 1

Addresses

Other names 1

• The Venturan Convalescent Center Doing business as

Tax ID family

Brierwood Terrace Ventura Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal View Healthcare Center LLC

  • Skilled Nursing Facility
  • Ventura, CA
  • NPI 1497011282
  NPD tax ID

Locations

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1164499810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034109",
            "telephone_number": "805-642-4101",
            "fax_number": "805-642-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034109",
            "telephone_number": "805-642-4101",
            "fax_number": "805-642-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIERWOOD TERRACE VENTURA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-642-4101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "050000072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Venturan Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Ventura, CA
• Providers in Ventura, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.