Organization Active NPI

Magnifique Congregate Living Inc

  • Nursing Facility/Intermediate Care Facility
  • Lancaster, CA
National Provider Identifier
1194296566
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
MAGNIFIQUE CONGREGATE LIVING INC
Practice address
1827 W Avenue K12
Lancaster, CA 93534-6235
Phone
(323) 833-1794
NPI assigned
Dec 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Alla Bznuni, RN
Title
Ceo
Phone
(323) 833-1794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

1827 W Avenue K12
Lancaster, CA 93534-6235

Mailing address

1827 W Avenue K12
Lancaster, CA 93534-6235
Phone (323) 833-1794

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1194296566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 W AVENUE K12",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346235",
            "telephone_number": "323-833-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 W AVENUE K12",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346235",
            "telephone_number": "323-833-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFIQUE CONGREGATE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "BZNUNI",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-833-1794",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care 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 Dec 17, 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.