# CAMARILLO COMMUNITY CARE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Camarillo Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215924725
- **Authorized official:** MS. SOON E. BURNAM (AUTHORIZED AGENT)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 205 GRANADA ST, CAMARILLO, CA 93010-7715
- **Practice address phone:** (805) 482-9805
- **Practice address fax:** (805) 388-8242
- **Mailing address:** 205 GRANADA ST, CAMARILLO, CA 93010-7715
- **Mailing address phone:** (805) 482-9805
- **Mailing address fax:** (805) 388-8242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050000087 | CA | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 02/17/2021