Willowembrace Home Care Services LLC
In Home Supportive Care in Simi Valley, CA. Organization (NPI-2).
NPI number1003733197
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1003733197
- Entity type
- Organization (NPI-2)
- Legal business name
- Willowembrace Home Care Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2026
- Certification date
- Jul 1, 2026
- Last updated
- Jun 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
106 Silver Fern CtSimi Valley, CA 93065-6716
Phone 805-791-8629
Mailing address
106 Silver Fern CtSimi Valley, CA 93065-6716
Phone 805-791-8629
Authorized official
Ma Adelaine Rizardo Koch
Ceo/Administrator
8057918629
Is something wrong?
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All 8 In Home Supportive Care Agency providers in Simi Valley · All 2,226 providers in Simi Valley
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