Sinaloa Congregate Living LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SINALOA CONGREGATE LIVING LLC

Practice address

1432 Sinaloa Rd
Simi Valley, CA 93065-3031

Phone

(805) 842-1990

NPI assigned

Jun 5, 2018

Organization subpart

No

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

Authorized official

Name

Kelly Fabros

Title

Manager

Phone

(310) 991-3733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1740772631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 SINALOA RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653031",
            "telephone_number": "805-842-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 SINALOA RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653031",
            "telephone_number": "805-842-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINALOA CONGREGATE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "FABROS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-991-3733"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Simion
• Simis Home Health Care
• Marlee Robin Simon, LPCC, MT-BC
• Aberdeen Marie Simpson
• Tracy Frieda Sims
• Rosa Singer, MSW, LCSW
• Leslie Singh, PHARMD
• Maria Theresa Amorin Singson, D.D.S., M.S.
• Melissa Sison, CCC-SLP
• Lakshmanan Sivasundaram

• Skilled Nursing Facility in Simi Valley, CA
• Providers in Simi Valley, 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 Jun 5, 2018; 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.