Cantlay House

LBN: Kmb Residential Care, Inc.
Cantlay House is an health care organization with primary practice located at 14160 Cantlay St , Van Nuys CA 91405-2431. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Kmb Residential Care, Inc. can be contacted via phone (818) 501-5375, or through King, Carl Leonard via phone (818) 501-5375.

Contact Information

Primary practice address
14160 Cantlay St Van Nuys CA 91405-2431
Phone: (818) 501-5375
Fax: (818) 360-1940
Website:
Map and Directions
Authorized official contact:
Name: King, Carl Leonard
Phone: (818) 501-5375

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X California

Profile Details

NPI number 1083800890
LBN Legal business name Kmb Residential Care, Inc.
DBA Doing business as Cantlay House
Authorized official King, Carl Leonard
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2007
Last updated Sep 15th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083800890 NPPES
California MEDICAID LTC61012F

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