Active NPI
Geri-Care VI, LLC
- Assisted Living Facility
- Lancaster, CA
National Provider Identifier
1376718221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 191200705
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191200705 | Other | CA | LICENSE NUMBER |
Other names 1
- Antelope Valley Retirement Manor
National Provider Directory
National Provider DirectoryNPI 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.