Proactive Care CLHF

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PROACTIVE CARE CLHF

Practice address

40648 13TH St W
Palmdale, CA 93551-2105

Phone

(818) 616-2404

Fax

(800) 730-8558

NPI assigned

Feb 18, 2019

Organization subpart

No

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

Authorized official

Name

Maggie Balyan

Title

Ceo

Phone

(818) 616-2404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1437615119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40648 13TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512105",
            "telephone_number": "818-616-2404",
            "fax_number": "800-730-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40648 13TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935512105",
            "telephone_number": "818-616-2404",
            "fax_number": "800-730-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE CARE CLHF",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "BALYAN",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-616-2404"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.