St Thomas Aquinas Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

ST THOMAS AQUINAS HOME

Practice address

765 E Yucca St
Oxnard, CA 93033-6535

Phone

(805) 488-0847

Fax

(805) 487-9757

NPI assigned

Mar 16, 2006

Last updated

Aug 22, 2020By 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

Ms. Marilou Velasco

Title

Administrator/Owner

Phone

(805) 984-1565

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982673315. Details of each certification follow.

• CCN 55G528 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G528

Legal name

St Thomas Aquinas Home

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 15, 2005

Last certification

Mar 14, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

765 East Yucca Street
Oxnard, CA 93033

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982673315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 BAYSIDE CIR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930352147",
            "telephone_number": "805-984-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 E YUCCA ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930336535",
            "telephone_number": "805-488-0847",
            "fax_number": "805-487-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST THOMAS AQUINAS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "805-984-1565",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC61057F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• 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.
• 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.

Verify at the official NPI Registry.