Healthcare Provider Details

I. General information

NPI: 1902905441
Provider Name (Legal Business Name): ST. JOSEPH'S HEALTH & RETIREMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 01/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2464 E OJAI AVE
OJAI CA
93023-9638
US

IV. Provider business mailing address

PO BOX 760
OJAI CA
93024-0760
US

V. Phone/Fax

Practice location:
  • Phone: 805-646-1466
  • Fax: 805-646-1013
Mailing address:
  • Phone: 805-646-1466
  • Fax: 805-646-1013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number050000094
License Number StateCA

VIII. Authorized Official

Name: PATRICK OKEKE
Title or Position: ADMINISTRATOR
Credential:
Phone: 805-646-1466