Organization Active NPI

One & Only Congregate Living

  • Nursing Facility/Intermediate Care Facility
  • Canoga Park, CA
National Provider Identifier
1033506068
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
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

Updated by the provider on Apr 16, 2015

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2162712One & Only Congregate Living23296 Cohasset Street, Canoga Park, CA 91304Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.