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BEACHCOMBER HOME ICF/DD-N
NPI 1558498683
Intermediate Care Facility, Intellectual Disabilities in Simi Valley, CA

Active since February 27, 2007CLIA 05D1070880 · Waiver
3224 WILMOT ST, SIMI VALLEY, CA 93063(805) 485-8111(805) 485-8170 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Beachcomber Home Icf/dd-n NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACHCOMBER HOME ICF/DD-N (NPI 1558498683) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Simi Valley, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 7, 2028 and lists Matthew Steinorth, President, as its authorized official.

NPPES Registry Identity

NPI1558498683
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEPIPHANY CARE HOMES INC
Location Address3224 WILMOT STSimi Valley, CA 93063-2656
Mailing Address1331 Doris AveOxnard, CA 93030-4409 · (805) 485-8111 · Fax (805) 485-8170
Phone(805) 485-8111
Fax(805) 485-8170
Organization SubpartNo
Authorized OfficialMatthew SteinorthPresident · (805) 485-8111
Enumeration DateFebruary 27, 2007
Last NPPES UpdateSeptember 20, 2011
✔ NPI 1558498683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
3224 WILMOT ST, Simi Valley, CA 93063
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Other Names 1

Doing Business AsBeachcomber Home Icf/dd-n

Other Identifiers 1

MedicaidLTC80371FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1070880

Beachcomber Home · Simi Valley, CA
Active · expires Sep 7, 2028
CLIA Number05D1070880
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorZia Abdo Majid Memar
Laboratory Phone(805) 581-9302
Laboratory LocationBeachcomber Home3224 Wilmot St, Simi Valley, CA 93063
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Epiphany Care Homes Inc's NPI number?

The NPI number for Epiphany Care Homes Inc is 1558498683. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Beachcomber Home Icf/Dd-N.

Where is Epiphany Care Homes Inc located?

Epiphany Care Homes Inc is located at 3224 Wilmot St, Simi Valley, CA 93063. The listed phone number is (805) 485-8111.

What is Epiphany Care Homes Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Epiphany Care Homes Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1070880) is associated with this NPI, valid through September 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Epiphany Care Homes Inc was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.