Organization Active NPI

Friends of the Elderly

  • Adult Day Care Clinic/Center
  • Ventura, CA
National Provider Identifier
1457417867
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FRIENDS OF THE ELDERLY
Practice address
4221 E Main St
Suite C
Ventura, CA 93003-8285
Phone
(805) 650-1190
Fax
(805) 650-1191
NPI assigned
Dec 29, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Andrew Shagal, DC
Title
Administrator
Phone
(805) 650-1190

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

NPPES NPI Registry

Primary practice location

4221 E Main St
Suite C
Ventura, CA 93003-8285

Mailing address

4221 E Main St
Suite C
Ventura, CA 93003-8285
Phone (805) 650-1190

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
ADU70271FMedicaidCA

Other names 1

NPPES NPI Registry
  • Ventura Coastal Adult Day Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457417867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 E MAIN ST",
            "address_2": "SUITE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038285",
            "telephone_number": "805-650-1190",
            "fax_number": "805-650-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 E MAIN ST",
            "address_2": "SUITE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038285",
            "telephone_number": "805-650-1190",
            "fax_number": "805-650-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF THE ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAGAL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-650-1190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70271F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ventura Coastal Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.