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NPI Code Detail

MEDICARE: EPIPHANY CARE HOMES INC

MEDICARE: EPIPHANY CARE HOMES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1315P00000XIntellectual Disabilities Intermediate Care Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083741151
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPIPHANY CARE HOMES INC
Provider Business Mailing Address
First Line : 1331 DORIS AVE
Second Line :
City : OXNARD
State : CA
Zip : 93030-4409
Country : US
Telephone Number : 805-485-8111
Fax Number : 805-485-8170
Provider Business Practice Location Address
First Line : 2331 KNOLLHAVEN ST
Second Line :
City : SIMI VALLEY
State : CA
Zip : 93065-2528
Country : US
Telephone Number : 805-485-8111
Fax Number : 805-485-8170
Authorized Official
Title or Position : PRESIDENT
Name : MR. MATTHEW STEINORTH
Credential :
Telephone Number : 805-485-8111
Provider Enumeration Date : 02/27/2007
Last Update Date : 09/19/2011

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Directions to “EPIPHANY CARE HOMES INC ” Practice Location

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