Active NPI
Simi Valley Hospital and Health Care Services
- Home Health Agency
- Simi Valley, CA
National Provider Identifier
1225010994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 050000004
- 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/WEST
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Date | Event | Counterparty |
|---|---|---|
| Mar 24, 2019 | Change of Ownership | Adventist Health Home Care Services |
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.
-
- Religious Nonmedical Health Care Institution
- Roseville, CA
- NPI 1265908032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.