Mjv Health Care Corporation

LBN: Our Lady Of Guadalupe
Mjv Health Care Corporation is an health care organization with primary practice located at 1474 N 5Th St , Port Hueneme CA 93041-2205. 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. Our Lady Of Guadalupe can be contacted via phone (805) 487-9757, or through Velasco, Norma via phone (805) 487-9757.

Contact Information

Primary practice address
1474 N 5Th St Port Hueneme CA 93041-2205
Phone: (805) 487-9757
Fax: (805) 487-9757
Website:
Map and Directions
Authorized official contact:
Name: Velasco, Norma PRESIDENT
Phone: (805) 487-9757

Health care specialties

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

Profile Details

NPI number 1447224381
LBN Legal business name Our Lady Of Guadalupe
DBA Doing business as Mjv Health Care Corporation
Authorized official Velasco, Norma PRESIDENT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1447224381 NPPES
California MEDICAID LTC60799F

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