Avenida Living Home, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

AVENIDA LIVING HOME, INC.

Practice address

2465 Avenida de Las Plantas
Thousand Oaks, CA 91360-6619

Phone

(310) 435-7575

Fax

(888) 369-2111

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Lior Matian

Title

Ceo

Phone

(310) 465-7575

Specialties & licenses 1

Addresses

Tax ID family

Avenida Living Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avenida Living Home, Inc.

  • Physical Disabilities Residential Treatment Facility
  • Thousand Oaks, CA
  • NPI 1619336740
  NPD tax ID

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1417347121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 AVENIDA DE LAS PLANTAS",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606619",
            "telephone_number": "310-435-7575",
            "fax_number": "888-369-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 AVENIDA DE LAS PLANTAS",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606619",
            "telephone_number": "310-435-7575",
            "fax_number": "888-369-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENIDA LIVING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "MATIAN",
        "authorized_official_first_name": "LIOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-465-7575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristina Avakumov
• Genevieve Avalos
• Saro Avedikian
• Avenida Living Home, Inc.
• Aviisha Medical Corporation
• Norma Elisa Avina, NP
• Gabriela Ayala, PPS
• Priscila Ayson, R.N.

• Nursing Facility/Intermediate Care Facility in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.