Healthcare Provider Details

I. General information

NPI: 1801756978
Provider Name (Legal Business Name): A CORNERSTONE SAFE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3021 PAIGE AVENUE
SIMI VALLEY CA
93063
US

IV. Provider business mailing address

3021 PAIGE AVENUE
SIMI VALLEY CA
93063
US

V. Phone/Fax

Practice location:
  • Phone: 805-864-9037
  • Fax: 805-864-9037
Mailing address:
  • Phone: 805-864-9037
  • Fax: 805-864-9037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN R LUMBRES
Title or Position: ADMINISTRATOR
Credential: NURSE-RN
Phone: 818-602-1350