Laurel Canyon Retirement Community, Inc

LBN: Laurel Canyon Retirement Community, Inc
Laurel Canyon Retirement Community, Inc is an health care organization with primary practice located at 5527 Laurel Canyon Blvd , Valley Village CA 91607-2116. 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. Laurel Canyon Retirement Community, Inc can be contacted via phone (818) 769-6626, or through Pink, Tillman via phone (818) 769-6629.

Contact Information

Primary practice address
5527 Laurel Canyon Blvd Valley Village CA 91607-2116
Phone: (818) 769-6626
Fax: (818) 753-5018
Website:
Map and Directions
Authorized official contact:
Name: Pink, Tillman
Phone: (818) 769-6629

Health care specialties

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

Profile Details

NPI number 1093998411
LBN Legal business name Laurel Canyon Retirement Community, Inc
DBA Doing business as
Authorized official Pink, Tillman
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093998411 NPPES
California MEDICAID RCF00032F

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