Royal Congregate Living LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ROYAL CONGREGATE LIVING LLC

Practice address

7354 De Soto Ave
Canoga Park, CA 91303-1703

Phone

(818) 657-7309

NPI assigned

Jun 1, 2018

Organization subpart

No

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

Authorized official

Name

Josie Sta Maria

Title

President

Phone

(818) 456-2464

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1366934663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 CORBIN AVE STE 112",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7354 DE SOTO AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031703",
            "telephone_number": "818-657-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL CONGREGATE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "STA MARIA",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-456-2464"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Rothman
• Nasim Rouhafza
• Roy Medical Group, Inc.
• Rosalinda Amor Roy, M.D.
• Roya Kazemi Chiropractic, Inc.
• Royal Medical Supply LLC
• Julissa Amaya Rubalcava
• Zinaida Rubin
• Samantha Rudin
• Mia Rueck

• Skilled Nursing Facility in Canoga Park, CA
• Providers in Canoga Park, 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 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.