Active NPI
Mitchell Homes Inc.
- Intellectual Disabilities Intermediate Care Facility
- Oxnard, CA
National Provider Identifier
1942480496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- LTC60968F
- Legal business name
- MITCHELL HOMES INC.
- Practice address
- 1024 S L St
Oxnard, CA 93030-6764 - Phone
- (805) 640-8819
- NPI assigned
- Nov 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Antoinette Mitchell
- Title
- Executive Director
- Phone
- (805) 640-8819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | LTC60968F | CA | Primary |
Addresses
Primary practice location
1024 S L St
Oxnard, CA 93030-6764
Mailing address
1024 S L St
Oxnard, CA 93030-6764
Phone (805) 486-7572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G371
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Mitchell Home - L Street
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Feb 15, 2001
- Last certification
- Jun 10, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Most recent change of ownership
- Dec 31, 2015
- Facility address
- 1024 South L Street
Oxnard, CA 93030
National Provider Directory
National Provider Directory- Tax ID family
- Mitchell Homes Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Ojai, CA
- NPI 1750406047
-
- Intellectual Disabilities Intermediate Care Facility
- Ojai, CA
- NPI 1801079058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1942480496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 S L ST",
"city": "OXNARD",
"state": "CA",
"postal_code": "930306764",
"telephone_number": "805-486-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 S L ST",
"city": "OXNARD",
"state": "CA",
"postal_code": "930306764",
"telephone_number": "805-640-8819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL HOMES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "ANTOINETTE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "805-640-8819",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": "LTC60968F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 13, 2007; 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.