POSITIVE LIFESTYLES LLC NPI 1154589661

NPI Information

NPI: 1154589661
Provider Name: POSITIVE LIFESTYLES LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
422 BALBOA DR
DELANO, CA
ZIP 93215
Phone: (661) 725-7960
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POSITIVE LIFESTYLES LLC is an intermediate care facility mentally retarded in Delano, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. POSITIVE LIFESTYLES LLC NPI is 1154589661. The provider is registered as an organization entity type.

The provider's business location address is:

422 BALBOA DR
DELANO, CA
ZIP 93215-006
Phone: (661) 725-7960

The provider's authorized official is Dave Wheelock .
The authorized official title is Owner and has the following contact phone number (661) 725-7960.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 5/30/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		120000428	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LTC80113G	OTHER	CALIFORNIA	LONG TERM CARE FACILITY

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

NPI Synchronization or Removal

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