Healthcare Provider Details

I. General information

NPI: 1982602496
Provider Name (Legal Business Name): LOS ROBLES HOMECARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 MARIN ST STE 135
THOUSAND OAKS CA
91360-7897
US

IV. Provider business mailing address

1881 W TRAVERSE PKWY STE E112
LEHI UT
84048-6029
US

V. Phone/Fax

Practice location:
  • Phone: 805-777-7234
  • Fax: 805-777-0101
Mailing address:
  • Phone: 805-777-7234
  • Fax: 805-777-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number050000552
License Number StateCA

VIII. Authorized Official

Name: MR. STEVEN BURNINGHAM
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 415-845-3213