Healthcare Provider Details
I. General information
NPI: 1013248335
Provider Name (Legal Business Name): DARANCARE HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2010
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2486 N PONDEROSA DR STE D217
CAMARILLO CA
93010-2472
US
IV. Provider business mailing address
2486 N PONDEROSA DR STE D217
CAMARILLO CA
93010-2472
US
V. Phone/Fax
- Phone: 805-482-0728
- Fax: 888-551-1288
- Phone: 805-482-0728
- Fax: 888-551-1288
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FARZAD
DARABI
Title or Position: CEO
Credential:
Phone: 805-482-0728