Healthcare Provider Details

I. General information

NPI: 1013771708
Provider Name (Legal Business Name): COUNTY OF VENTURA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 PARTRIDGE DR
VENTURA CA
93003-5405
US

IV. Provider business mailing address

800 S VICTORIA AVE # L4640
VENTURA CA
93009-0003
US

V. Phone/Fax

Practice location:
  • Phone: 805-477-5435
  • Fax:
Mailing address:
  • Phone: 805-677-5146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: HELINA WU
Title or Position: CFO - HUMAN SERVICES AGENCY
Credential:
Phone: 804-477-5435