Organization Active NPI

PHV 4 Rcfe LLC

  • Assisted Living Facility
  • Palmdale, CA
National Provider Identifier
1639042898
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PHV 4 RCFE LLC
Practice address
35940 Tierra Subida Ave
Palmdale, CA 93551-8002
Phone
(714) 519-5878
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Joel Lacson
Title
Licensee
Phone
(714) 519-5878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

35940 Tierra Subida Ave
Palmdale, CA 93551-8002

Mailing address

35940 Tierra Subida Ave
Palmdale, CA 93551-8002
Phone (714) 519-5878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1639042898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35940 TIERRA SUBIDA AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935518002",
            "telephone_number": "714-519-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35940 TIERRA SUBIDA AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935518002",
            "telephone_number": "714-519-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHV 4 RCFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "LACSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "714-519-5878"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.