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LAKE BALBOA HEALTH CARE INC. NPI 1053396366


NPI Information

NPI: 1053396366
Provider Name: LAKE BALBOA HEALTH CARE, INC.

Doing Business As: LAKE BALBOA POST-ACUTE REHAB

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
16955 VANOWEN ST
VAN NUYS, CA
ZIP 91406
Phone: (818) 343-0700
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LAKE BALBOA HEALTH CARE, INC. is a skilled nursing facility in Van Nuys, CA. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. LAKE BALBOA HEALTH CARE, INC. NPI is 1053396366. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Balboa Post-acute Rehab.

The provider's business location address is:

16955 VANOWEN ST
VAN NUYS, CA
ZIP 91406-542
Phone: (818) 343-0700

The provider's authorized official is Marc Johnson .
The authorized official title is Cfo and has the following contact phone number (949) 373-8373.

The enumeration date for this NPI number is 12/8/2005 and was last updated on 4/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility920000005CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZT06180IMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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