The Kibbutz - Nature Serenity Renewal

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

THE KIBBUTZ - NATURE SERENITY RENEWAL

Practice address

13136 Elizabeth Lake Rd
Leona Valley, CA 93551

Phone

(661) 401-6648

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Hannah Brookman

Title

Director

Phone

(661) 401-6648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1770052748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13136 ELIZABETH LAKE RD",
            "city": "LEONA VALLEY",
            "state": "CA",
            "postal_code": "935517001",
            "telephone_number": "661-401-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13136 ELIZABETH LAKE RD",
            "city": "LEONA VALLEY",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-401-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIBBUTZ - NATURE SERENITY RENEWAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "BROOKMAN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-401-6648"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ege, LCSW
• Kristen Hughes, CPNP-PC
• Jennifer Joy Klein, R.D.
• LVRC Inc
• Frances Wells Neely, PH.D.

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Leona Valley, CA
• Providers in Leona Valley, CA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.