Healthcare Provider Details

I. General information

NPI: 1104792738
Provider Name (Legal Business Name): VENTURA ADULT DAY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4721 MARKET ST
VENTURA CA
93003-8049
US

IV. Provider business mailing address

4721 MARKET ST
VENTURA CA
93003-8049
US

V. Phone/Fax

Practice location:
  • Phone: 818-731-4021
  • Fax:
Mailing address:
  • Phone: 818-731-4021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAHAK KESHISHYAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 818-731-4021