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CORAL HOME ICF/DD-N
NPI 1679600332
Intermediate Care Facility, Intellectual Disabilities in Simi Valley, CA

Active since February 28, 2007CLIA 05D1070882 · Waiver
2090 BOLIVAR CT, SIMI VALLEY, CA 93063(805) 485-8111(805) 485-8170 Get Directions Write a Review

NPPES record last updated: September 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coral Home Icf/dd-n NPPES

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

CORAL HOME ICF/DD-N (NPI 1679600332) 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, 2026 and lists Matthew Steinorth, President, as its authorized official.

NPPES Registry Identity

NPI1679600332
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameEPIPHANY CARE HOMES INC
Location Address2090 BOLIVAR CTSimi Valley, CA 93063-2761
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 28, 2007
Last NPPES UpdateSeptember 19, 2011
✔ NPI 1679600332 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.
2090 BOLIVAR CT, Simi Valley, CA 93063
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Other Names 1

Doing Business AsCoral Home Icf/dd-n

Other Identifiers 1

MedicaidLTC80370FCA

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 05D1070882

Coral Home · Simi Valley, CA
Active · expires Sep 7, 2026
CLIA Number05D1070882
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorZia Abdo M. Memar
Laboratory Phone(805) 527-4370
Laboratory LocationCoral Home2090 Bolivar Court, 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 1679600332. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Coral Home Icf/Dd-N.

Where is Epiphany Care Homes Inc located?

Epiphany Care Homes Inc is located at 2090 Bolivar Ct, 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 05D1070882) is associated with this NPI, valid through September 7, 2026. 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 19, 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.