Provider Demographics
NPI:1275662405
Name:VISITING NURSE AND HOSPICE CARE OF SANTA BARBARA
Entity Type:Organization
Organization Name:VISITING NURSE AND HOSPICE CARE OF SANTA BARBARA
Other - Org Name:SANTA BARBARA VISITING NURSE ASSOCIATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-690-6281
Mailing Address - Street 1:509 E MONTECITO ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-3293
Mailing Address - Country:US
Mailing Address - Phone:805-965-5555
Mailing Address - Fax:805-690-6259
Practice Address - Street 1:512 E GUTIERREZ, SUITE B
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-5221
Practice Address - Country:US
Practice Address - Phone:805-965-5555
Practice Address - Fax:805-690-6259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA050000054251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPC01540FMedicaid
CA051540Medicare Oscar/Certification