Healthy Life Congregate Care

LBN: Healthy Life Congregate Care
Healthy Life Congregate Care is an health care organization with primary practice located at 3011 Peoria Ave , Simi Valley CA 93063-1654. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Healthy Life Congregate Care can be contacted via phone (805) 955-0057, or through Derderyan, Edmond V via phone (805) 955-0057.

Contact Information

Primary practice address
3011 Peoria Ave Simi Valley CA 93063-1654
Phone: (805) 955-0057
Fax: (805) 728-7454
Website:
Map and Directions
Authorized official contact:
Name: Derderyan, Edmond V Doctor of Medicine (MD)
Phone: (805) 955-0057

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X

Profile Details

NPI number 1902268758
LBN Legal business name Healthy Life Congregate Care
DBA Doing business as
Authorized official Derderyan, Edmond V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2016
Last updated Mar 22nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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