Camarillo Skilled Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CAMARILLO SKILLED HOME HEALTH LLC

Practice address

450 Rosewood Ave Ste 213
Camarillo, CA 93010-5914

Phone

(805) 987-2888

Fax

(805) 987-2885

NPI assigned

Oct 10, 2008

Last updated

Mar 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Marie M Soller

Title

Vice President

Phone

(805) 987-2888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689825473. Details of each certification follow.

• CCN 059246 Home health agency · Active · Details

Home health agency certification: CCN 059246

Legal name

CAMARILLO SKILLED HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 15, 2010

Last certification

May 9, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

450 Rosewood Ave
Ste 213
Camarillo, CA 93010-5914

Listed as

Camarillo Skilled Home Health LLCCCN 059246 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Aug 15, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Mark Soller Villamayor

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1447897574
  NPD

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Romany F. Demian, M.D.

  • Internal Medicine Physician
  • Oxnard, CA
  • NPI 1043232085

  Home health agency

  Care Compare affiliation
• Adam B Sherman, DO

  • Family Medicine Physician
  • Oxnard, CA
  • NPI 1457486060

  Home health agency

  Care Compare affiliation
• Karan Deep Singh, M.D.

  • Cardiovascular Disease Physician
  • Oxnard, CA
  • NPI 1851349047

  Home health agency

  Care Compare affiliation
• Daniel Tavari, D.O.

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1942240213

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1689825473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE.",
            "address_2": "UNIT 213",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-987-2888",
            "fax_number": "805-987-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE STE 213",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-987-2888",
            "fax_number": "805-987-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMARILLO SKILLED HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "SOLLER",
        "authorized_official_first_name": "JEAN MARIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "805-987-2888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059246",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camarillo Endoscopy Center LLC
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• Camarillo Hhca, Inc.
• Camarillo Physical Therapy
• Camarillo Physical Therapy, Inc
• Camarillo Springs Dental
• Camarillo Springs Holistic Medical
• Camarillo Surgical Center Associates Inc
• Camarrillo Springs Dental Group
• Jena Lauren Cameron

• Home Health Agency in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.