NPIMap

Organization Active NPI

Positive Lifestyles LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Delano, CA
National Provider Identifier
1154589661
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
120000428 Issued in CA
Legal business name
POSITIVE LIFESTYLES LLC
Practice address
422 Balboa Dr
Delano, CA 93215-4006
Phone
(661) 725-7960
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dave Wheelock
Title
Owner
Phone
(661) 725-7960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 120000428 CA Primary

Addresses

Primary practice location

422 Balboa Dr
Delano, CA 93215-4006

Mailing address

PO Box 849
Delano, CA 93216-0849
Phone (661) 715-7960

Other identifiers 1

IdentifierTypeStateIssuer
LTC80113GOtherCALONG TERM CARE FACILITY

National Provider Directory

National Provider Directory
Tax ID family
Positive Lifestyles LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1154589661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932160849",
            "telephone_number": "661-715-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 BALBOA DR",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932154006",
            "telephone_number": "661-725-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE LIFESTYLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "WHEELOCK",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-725-7960"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "120000428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LONG TERM CARE FACILITY",
            "identifier": "LTC80113G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.