Organization Active NPI

Heart of the Valley Congregate Living

  • Skilled Nursing Facility
  • Lancaster, CA
National Provider Identifier
1104226802
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HEART OF THE VALLEY CONGREGATE LIVING
Practice address
44851 Mariposa Dr
Lancaster, CA 93536-8375
Phone
(818) 251-6433
Fax
(818) 475-5211
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Mr. Jefferson Reyes
Title
Ceo/President
Phone
(818) 251-6433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

44851 Mariposa Dr
Lancaster, CA 93536-8375

Mailing address

44851 Mariposa Dr
Lancaster, CA 93536-8375

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1104226802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44851 MARIPOSA DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935368375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44851 MARIPOSA DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935368375",
            "telephone_number": "818-251-6433",
            "fax_number": "818-475-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF THE VALLEY CONGREGATE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-251-6433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.