Option One Congregate Living Facility Santa Clarita Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OPTION ONE CONGREGATE LIVING FACILITY SANTA CLARITA INC

Practice address

20251 Lakemore Dr
Canyon Country, CA 91351-1058

Phone

(661) 977-1989

Fax

(661) 977-1527

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Rajan Jacob

Title

Ceo

Phone

(661) 977-1989

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1063987253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20251 LAKEMORE DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913511058",
            "telephone_number": "661-977-1989",
            "fax_number": "661-977-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 LAKEMORE DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913511058",
            "telephone_number": "661-977-1989",
            "fax_number": "661-977-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTION ONE CONGREGATE LIVING FACILITY SANTA CLARITA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-977-1989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Nollau, BS
• Stella C Nwanguma, LVN
• Lisa Liset Ochoa
• Chioma Ojukwu
• Yukio Okano, PH.D.
• Katherine Orellana-Lopez
• Adesoji Peter Orobiyi I
• Cereza Christina Oronoz
• Mojgan Orsini, RDN, CDE
• Cesar Sorila Ortouste

• Skilled Nursing Facility in Canyon Country, CA
• Providers in Canyon Country, 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 Oct 4, 2018; 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.