Organization Active NPI

Alexo Manor Inc

  • Assisted Living Facility
  • Lancaster, CA
National Provider Identifier
1376372854
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ALEXO MANOR INC
Practice address
41453 Alexo Dr
Lancaster, CA 93536-2333
Phone
(661) 227-4536
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Mr. Jerome Viray
Title
Administrator
Phone
(818) 332-6150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

41453 Alexo Dr
Lancaster, CA 93536-2333

Mailing address

1716 Erringer Rd Ste 106
Simi Valley, CA 93065-6527
Phone (818) 332-6150

National Provider Directory

National Provider Directory

Locations

1716 Erringer Rd
Ste 106
Simi Valley, CA 93065
Phone (805) 578-9481

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1376372854",
    "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",
            "fax_number": "805-578-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41453 ALEXO DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935362333",
            "telephone_number": "661-227-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXO MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living 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 Jul 31, 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.