Til LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

550003204 Issued in CA

Legal business name

TIL LP

Practice address

2639 West Ave K4
Lancaster, CA 93536

Phone

(661) 526-0110

NPI assigned

Sep 22, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tatyana Krivitsky

Title

General Partner

Phone

(818) 371-3474

Specialties & licenses 1

Addresses

Other names 1

• Bellagio in the Desert Doing business as

Tax ID family

Bellagio in the Desert2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Til LP

  • Substance Abuse Rehabilitation Facility
  • Lancaster, CA
  • NPI 1356003289
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1043689904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 COLFAX AVE. #F",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "91604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 WEST AVE K4",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93536",
            "telephone_number": "661-526-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "KRIVITSKY",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "818-371-3474"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550003204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellagio in the Desert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juanita Marie Threet
• Thrifty Payless Inc
• Lynne Susanne Ticson, M.D.
• Armenta Tiggs-Brown, PA
• Nikki G. Tighe, MFT
• Til LP
• Erica G Tillett
• Tim Corvino MD a Medical Corporation
• Timelist Group, Inc.
• Timothy D. Bulgarelli

• Skilled Nursing Facility in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.