Kima'S Congregate Living Facility, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KIMA'S CONGREGATE LIVING FACILITY, INC

Practice address

43801 Halcom Ave
Lancaster, CA 93536-5819

Phone

(323) 434-3737

NPI assigned

Nov 12, 2015

Organization subpart

No

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

Authorized official

Name

Elmira Jamalyan

Title

Ceo

Phone

(323) 434-3737

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1104299106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43801 HALCOM AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365819",
            "telephone_number": "323-434-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43801 HALCOM AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365819",
            "telephone_number": "323-434-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMA'S CONGREGATE LIVING FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "JAMALYAN",
        "authorized_official_first_name": "ELMIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-434-3737"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jung O. Kim, N.P.
• Michelle Ner Kim, PT
• Min Kim, NP
• Susan Chao Kim, O.D.
• Younghoon Kim, PT,DPT,OCS,CSCS
• Natosha Latrice Kimbro
• Jennifer Kincade
• Bobby King
• Nadene King
• Shanadral King

• 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 Nov 12, 2015; 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.