Healthcare Provider Details

I. General information

NPI: 1972325355
Provider Name (Legal Business Name): CMH HOME FUND MGR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 VIA ARROYO
VENTURA CA
93003-1319
US

IV. Provider business mailing address

888 VIA ARROYO
VENTURA CA
93003-1319
US

V. Phone/Fax

Practice location:
  • Phone: 805-561-6316
  • Fax:
Mailing address:
  • Phone: 805-561-6316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE DANDLEY
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 805-561-6316