Healthcare Provider Details

I. General information

NPI: 1518512557
Provider Name (Legal Business Name): VIVA HOSPICE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2019
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E DAILY DR STE 200
CAMARILLO CA
93010-5839
US

IV. Provider business mailing address

601 E DAILY DR STE 200
CAMARILLO CA
93010-5839
US

V. Phone/Fax

Practice location:
  • Phone: 805-322-8728
  • Fax: 805-322-4437
Mailing address:
  • Phone: 805-322-8728
  • Fax: 805-322-4437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LADY AVEGAIL VELASCO
Title or Position: CEO
Credential:
Phone: 805-322-8728