Organization Active NPI

Geri-Care VI, LLC

  • Assisted Living Facility
  • Lancaster, CA
National Provider Identifier
1376718221
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
191200705 Issued in CA
Legal business name
GERI-CARE VI, LLC
Practice address
44523 15TH St W
Lancaster, CA 93534-2847
Phone
(661) 949-5584
Fax
(661) 949-5807
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Ms. Elenita Perez
Title
Administrator
Phone
(661) 949-5584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 191200705 CA Primary

Addresses

Primary practice location

44523 15TH St W
Lancaster, CA 93534-2847

Mailing address

44523 15TH St W
Lancaster, CA 93534-2847
Phone (661) 949-5584

Other identifiers 1

IdentifierTypeStateIssuer
191200705OtherCALICENSE NUMBER

Other names 1

  • Antelope Valley Retirement Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1376718221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44523 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342847",
            "telephone_number": "661-949-5584",
            "fax_number": "661-949-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44523 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342847",
            "telephone_number": "661-949-5584",
            "fax_number": "661-949-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERI-CARE VI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELENITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-949-5584",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "191200705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "191200705",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antelope Valley Retirement Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 22, 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.