Organization Active NPI

Simi Valley Hospital and Health Care Services

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1225010994
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
050000004 Issued in CA
Legal business name
SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES
Practice address
1850 Heywood St
Simi Valley, CA 93065-3430
Phone
(805) 526-8190
Fax
(805) 526-4690
NPI assigned
Nov 17, 2005
Organization subpart
Yes
Parent organization
ADVENTIST HEALTH SYSTEM/WESTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Mr. John A Beaman
Title
VP Finance/Cfo
Phone
(805) 955-6202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 050000004 CA Primary

Addresses

Primary practice location

1850 Heywood St
Simi Valley, CA 93065-3430

Mailing address

2975 N. Sycamore Drive
Simi Valley, CA 93065
Phone (805) 955-6000

Other names 1

  • Adventist Health/Home Care Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Adventist Health System West

Locations

1850 Heywood St
Simi Valley, CA 93065
Phone (805) 526-8190

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 24, 2019 Change of OwnershipThis provider was the seller Adventist Health Home Care ServicesCCN 057537, CA, NPI 1043779473

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1225010994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 N. SYCAMORE DRIVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-955-6000",
            "fax_number": "805-526-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HEYWOOD ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653430",
            "telephone_number": "805-526-8190",
            "fax_number": "805-526-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTH SYSTEM/WEST",
        "enumeration_date": "2005-11-17",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "BEAMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "805-955-6202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "050000004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health/Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adventist Health/Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.