Antelope Valley Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANTELOPE VALLEY ASSISTED LIVING LLC

Practice address

40238 Peonza LN
Palmdale, CA 93551-5208

Phone

(661) 992-5131

NPI assigned

Sep 3, 2025

Organization subpart

No

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

Authorized official

Name

Amy M Morales

Title

Administrator

Phone

(661) 992-8054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1407736283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40238 PEONZA LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515208",
            "telephone_number": "661-992-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40238 PEONZA LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515208",
            "telephone_number": "661-992-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-992-8054"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeles Nemt
• Irmino Galang Angeles, DMD
• Natthapon Angsubhakorn, MD
• Miguel Angel Anguiano, OPERATION SUPERVISOR
• Antelope Hospice Corporation
• Antelope Valley Community Clinic
• Antelope Valley Community Clinic
• Antelope Valley Community Clinic
• Antelope Valley Family Optometry, Inc
• Antelope Valley Home Health Agency Inc.

• Assisted Living Facility in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.