Healthcare Provider Details

I. General information

NPI: 1376476564
Provider Name (Legal Business Name): GRISWOLD HOME CARE FOR GREATER THOUSAND OAKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 E THOUSAND OAKS BLVD STE 116
WESTLAKE VILLAGE CA
91362-3553
US

IV. Provider business mailing address

3625 E THOUSAND OAKS BLVD STE 116
WESTLAKE VILLAGE CA
91362-3553
US

V. Phone/Fax

Practice location:
  • Phone: 805-852-0911
  • Fax: 805-852-0911
Mailing address:
  • Phone: 805-852-0911
  • Fax: 805-852-0911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: GRANT MEIKLE
Title or Position: DIRECTOR
Credential:
Phone: 805-852-0911