# PREMIER CARE SIMI VALLEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Simi Valley Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760424394
- **Authorized official:** ELIZABETH J. CASEY (CFO)
- **Authorized official phone:** (805) 497-7330

## Contact information

- **Practice address:** 5270 E LOS ANGELES AVE, SIMI VALLEY, CA 93063-4137
- **Practice address phone:** (805) 522-9155
- **Practice address fax:** (805) 527-9915
- **Mailing address:** 3075 E THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-3402
- **Mailing address phone:** (805) 497-7330
- **Mailing address fax:** (805) 497-7440

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55701F | — | CA |