NPIMap

Organization Active NPI

Roger Shea, Inc.

  • Skilled Nursing Facility
  • Ventura, CA
National Provider Identifier
1972516540
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
050000024 Issued in CA
Legal business name
ROGER SHEA, INC.
Practice address
4020 Loma Vista Rd
Ventura, CA 93003-1801
Phone
(805) 642-4196
Fax
(805) 642-4749
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Roger Shea, ADMINISTRATOR
Title
President
Phone
(805) 642-4196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 050000024 CA Primary

Addresses

Primary practice location

4020 Loma Vista Rd
Ventura, CA 93003-1801

Mailing address

4020 Loma Vista Rd
Ventura, CA 93003-1801
Phone (805) 642-4196

Other names 1

  • Ventura Convalescent Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
Esolutions Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1972516540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031801",
            "telephone_number": "805-642-4196",
            "fax_number": "805-642-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031801",
            "telephone_number": "805-642-4196",
            "fax_number": "805-642-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER SHEA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-642-4196",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "050000024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ventura Convalescent Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 23, 2008; 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.