Healthcare Provider Details

I. General information

NPI: 1790590628
Provider Name (Legal Business Name): CARING HEARTS OF SANTA PAULA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 E MAIN ST
SANTA PAULA CA
93060-2651
US

IV. Provider business mailing address

19867 COLLINS RD
CANYON COUNTRY CA
91351-4837
US

V. Phone/Fax

Practice location:
  • Phone: 805-420-9605
  • Fax:
Mailing address:
  • Phone: 805-444-2386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: RAM RUSH GO
Title or Position: CEO
Credential:
Phone: 805-444-2386