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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