Organization
LIVINGSTON MEMORIAL VISITING NURSE ASSOCIATION
Active
Organization
LIVINGSTON MEMORIAL VISITING NURSE ASSOCIATION
Active
Parent organization
LIVINGSTON MEMORIAL VISITING NURSE ASSOCIATION
Other names
Livingston Memorial VNA Hospice, Livingston Memorial Visiting Nurse Association & Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVINGSTON MEMORIAL VISITING NURSE ASSOCIATION
Authorized official
MRS. TERESA PAVAN (DIRECTOR/COO)
(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 108, VENTURA, CA 93003-5769
(805) 642-0239
(805) 642-7402
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
070000576
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051517
BLUE CROSS HOSPICE PROVID
CA
05
—
1881698447
—
CA
01
—
ZZZ02348Z
BLUE SHIELD PROVIDER NO
CA
Enumeration date
06/10/2005
Last updated
04/13/2022
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