Moonstone Home Icf/Dd-N

LBN: Epiphany Care Homes Inc
Moonstone Home Icf/Dd-N is an health care organization with primary practice located at 2331 Knollhaven St , Simi Valley CA 93065-2528. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Epiphany Care Homes Inc can be contacted via phone (805) 485-8111, or through Steinorth, Matthew via phone (805) 485-8111.

Contact Information

Primary practice address
2331 Knollhaven St Simi Valley CA 93065-2528
Phone: (805) 485-8111
Fax: (805) 485-8170
Website:
Map and Directions
Authorized official contact:
Name: Steinorth, Matthew
Phone: (805) 485-8111

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1083741151
LBN Legal business name Epiphany Care Homes Inc
DBA Doing business as Moonstone Home Icf/Dd-N
Authorized official Steinorth, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Sep 19th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083741151 NPPES
California MEDICAID LTC80026G

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