Organization Active NPI

Full Care Homehealth, Inc

  • Home Health Agency
  • Thousand Oaks, CA
National Provider Identifier
1720808090
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FULL CARE HOMEHEALTH, INC
Practice address
223 E Thousand Oaks Blvd
Suite 320 - 2
Thousand Oaks, CA 91360
Phone
(805) 371-9072
Fax
(805) 371-9074
NPI assigned
Oct 11, 2024
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Connie Roush
Title
Administrator Designee
Phone
(805) 371-9072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

223 E Thousand Oaks Blvd
Suite 320 - 2
Thousand Oaks, CA 91360

Mailing address

223 E Thousand Oaks Blvd
Suite 320 - 2
Thousand Oaks, CA 91360
Phone (805) 371-9072

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2322015Full Care Homehealth, Inc223 E Thousand Oaks Blvd Ste 320-2, Thousand Oaks, CA 91360Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

223 E Thousand Oaks Blvd
Ste 320
Thousand Oaks, CA 91360
Phone (805) 371-9072

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1720808090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 320 - 2",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-371-9072",
            "fax_number": "805-371-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 320 - 2",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-371-9072",
            "fax_number": "805-371-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CARE HOMEHEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR DESIGNEE",
        "authorized_official_telephone_number": "805-371-9072"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.