Provider Demographics
NPI:1679142368
Name:NEIGHBOR CARE CLHF, INC.
Entity type:Organization
Organization Name:NEIGHBOR CARE CLHF, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERGEL DE DIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-375-7476
Mailing Address - Street 1:2985 E HILLCREST DR. SUITE 203
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362
Mailing Address - Country:US
Mailing Address - Phone:818-268-0989
Mailing Address - Fax:
Practice Address - Street 1:81 NORTHAM AVE
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-3325
Practice Address - Country:US
Practice Address - Phone:805-375-7476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility