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
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

Other Identifiers

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

General Provider Information

NPI Number	:	1144357252
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	:	994 PHOENIX AVE
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93004-2207
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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