Leisure Village Inc

LBN: Leisure Village Inc
Leisure Village Inc is an health care organization with primary practice located at 6728 Gaviota Ave , Lake Balboa CA 91406-5944. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Leisure Village Inc can be contacted via phone (818) 585-2200, or through Ahankoob, Koke via phone (818) 585-2200.

Contact Information

Primary practice address
6728 Gaviota Ave Lake Balboa CA 91406-5944
Fax: (818) 387-6445
Website:
Authorized official contact:
Name: Ahankoob, Koke

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 197607543 California

Profile Details

NPI number 1366991135
LBN Legal business name Leisure Village Inc
DBA Doing business as
Authorized official Ahankoob, Koke
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2016
Last updated Sep 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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