Leisure Homes Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEISURE HOMES INC

Practice address

1400 Circle City Dr
Corona, CA 92879-1642

Phone

(909) 735-0252

Fax

(909) 735-0252

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Koke Ahankoob

Title

President

Phone

(818) 774-1236

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1376734434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19528 VENTURA BLVD # 589",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562917",
            "telephone_number": "818-774-1236",
            "fax_number": "818-774-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CIRCLE CITY DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791642",
            "telephone_number": "909-735-0252",
            "fax_number": "909-735-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "AHANKOOB",
        "authorized_official_first_name": "KOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-774-1236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lee, B.C.B.A
• Yong Lee
• Young Hun Lee, M.D.
• Kara Leinhos, LCSW
• Starla Leisgang
• Darlene Marie Lemmo, MFT
• Cynthia Lemus
• Selina Divine Leon-Segovia
• Alyssa Leon
• Darlene Leon

• Skilled Nursing Facility in Corona, CA
• Providers in Corona, 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 Aug 5, 2007; 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.