LAUREL CANYON RETIREMENT COMMUNITY INC NPI 1093998411

NPI Information

  • NPI: 1093998411
  • Provider Name: LAUREL CANYON RETIREMENT COMMUNITY, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 5527 LAUREL CANYON BLVD
    VALLEY VILLAGE, CA
    ZIP 91607
  • Phone: (818) 769-6626

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NPI Details

LAUREL CANYON RETIREMENT COMMUNITY, INC is an assisted living facility in Valley Village, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LAUREL CANYON RETIREMENT COMMUNITY, INC NPI is 1093998411. The provider is registered as an organization entity type.

The provider's business location address is:

5527 LAUREL CANYON BLVD
VALLEY VILLAGE, CA
ZIP 91607-116
Phone: (818) 769-6626
Fax: (818) 753-5018

The provider's authorized official is Tillman Pink .
The authorized official title is President and has the following contact phone number (818) 769-6629.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 12/7/2007.

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
1310400000XAssisted Living FacilityCALIFORNIAYes

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
1RCF00032FMEDICAIDCALIFORNIA

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: 3/30/2025

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