NPIMap

Organization Active NPI

Epiphany Care Homes Inc

Doing business as Pearl Home Icf/DD-N

  • Intellectual Disabilities Intermediate Care Facility
  • Oxnard, CA
National Provider Identifier
1235266479
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
EPIPHANY CARE HOMES INC
Doing business as
Pearl Home Icf/DD-N
Practice address
1910 Rhonda St
Oxnard, CA 93036-7732
Phone
(805) 485-8111
Fax
(805) 485-8170
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Mr. Matthew Steinorth
Title
President
Phone
(805) 485-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1910 Rhonda St
Oxnard, CA 93036-7732

Mailing address

1331 Doris Ave
Oxnard, CA 93030-4409
Phone (805) 485-8111

Other identifiers 1

IdentifierTypeStateIssuer
LTC80116GMedicaidCA

Other names 1

  • PEARL HOME ICF/DD-N Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Epiphany Care Homes Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1235266479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 DORIS AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930304409",
            "telephone_number": "805-485-8111",
            "fax_number": "805-485-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 RHONDA ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930367732",
            "telephone_number": "805-485-8111",
            "fax_number": "805-485-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY CARE HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "STEINORTH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-485-8111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80116G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARL HOME ICF/DD-N",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.