Active NPI
One & Only Congregate Living
- Nursing Facility/Intermediate Care Facility
- Canoga Park, CA
National Provider Identifier
1033506068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- ONE & ONLY CONGREGATE LIVING
- Practice address
- 23296 Cohasset St
Canoga Park, CA 91304-5366 - Phone
- (818) 708-8873
- NPI assigned
- Apr 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tatyana Lelchitsky
- Title
- Secretary
- Phone
- (818) 708-8873
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
23296 Cohasset St
Canoga Park, CA 91304-5366
Mailing address
5369 Newcastle LN
Calabasas, CA 91302-3119
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2162712 | One & Only Congregate Living | Certificate of waiver | Feb 27, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429142400000",
"number": "1033506068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5369 NEWCASTLE LN",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913023119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23296 COHASSET ST",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913045366",
"telephone_number": "818-708-8873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE & ONLY CONGREGATE LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-16",
"last_updated": "2015-04-16",
"status": "A",
"authorized_official_last_name": "LELCHITSKY",
"authorized_official_first_name": "TATYANA",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "818-708-8873"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.