Provider Demographics
NPI:1871145441
Name:VIVA HOME HEALTH
Entity type:Organization
Organization Name:VIVA HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LADY AVEGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:VELASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-509-1878
Mailing Address - Street 1:601 E DAILY DR STE 224
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-5840
Mailing Address - Country:US
Mailing Address - Phone:805-388-8217
Mailing Address - Fax:805-309-5188
Practice Address - Street 1:601 E DAILY DR STE 224
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5840
Practice Address - Country:US
Practice Address - Phone:805-388-8217
Practice Address - Fax:805-309-5188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2025-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health