Lake Balboa Post-Acute Rehab

LBN: Lake Balboa Health Care, Inc.
Lake Balboa Post-Acute Rehab is an health care organization with primary practice located at 16955 Vanowen St , Van Nuys CA 91406-4542. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Lake Balboa Health Care, Inc. can be contacted via phone (818) 343-0700, or through Johnson, Marc via phone (949) 373-8373.

Contact Information

Primary practice address
16955 Vanowen St Van Nuys CA 91406-4542
Phone: (818) 343-0700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Marc
Phone: (949) 373-8373

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 920000005 California

Profile Details

NPI number 1053396366
LBN Legal business name Lake Balboa Health Care, Inc.
DBA Doing business as Lake Balboa Post-Acute Rehab
Authorized official Johnson, Marc
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2005
Last updated Apr 5th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053396366 NPPES
California MEDICAID ZZT06180I

Popular Providers