Organization
LIVINGSTON MEMORIAL VISITING NURSE ASSOCIATION
Active
Other names
Livingston Memorial VNA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA PAVAN (CEO)
(805) 642-0239
Entity
Organization
Contact information
Practice address
1996 EASTMAN AVE, STE 101, VENTURA, CA 93003-5768
(805) 642-0239
(805) 642-7402
Mailing address
1996 EASTMAN AVE, STE 101, VENTURA, CA 93003-5768
(805) 642-0239
(805) 642-7402
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
050000074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057040
BLUE CROSS HOME HEALTH NO
CA
05
—
ZZT07040F
—
CA
01
—
ZZZ97705Z
BLUE SHIELD OF CA PROVIDE
CA
Enumeration date
06/09/2005
Last updated
08/22/2022
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