Antelope Valley Manor Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANTELOPE VALLEY MANOR INC

Practice address

2801 Huston PL
Lancaster, CA 93536-1803

Phone

(661) 726-1869

NPI assigned

Aug 1, 2024

Last updated

Aug 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerome Viray

Title

Administrator

Phone

(818) 332-6150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1144050519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 ERRINGER RD STE 106",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656527",
            "telephone_number": "818-332-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 HUSTON PL",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935361803",
            "telephone_number": "661-726-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "VIRAY",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-332-6150"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antelope Valley Lung & Sleep Institute, Inc
• Antelope Valley Lung & Sleep Institute, Inc
• Antelope Valley Lung & Sleep Institute, Inc
• Antelope Valley Lung Institute Medical Group
• Antelope Valley Lung Institute Medical Group
• Antelope Valley Medical Associates
• Antelope Valley Mental Health Clinic
• Antelope Valley Mental Health Clinic
• Antelope Valley Neonatology Group
• Antelope Valley Nephrology Medical Group, Inc.

• Assisted Living Facility in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.