Lakeside View Elderly Care, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKESIDE VIEW ELDERLY CARE, INC.

Practice address

14003 Lakeside St.
Sylmar, CA 91342

Phone

(818) 288-5869

NPI assigned

Aug 26, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Krishia Keannah Jean Rayos Hidalgo, RN

Title

Ceo

Phone

(818) 288-5869

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1811720600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14003 LAKESIDE ST.",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-288-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14003 LAKESIDE ST.",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-288-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE VIEW ELDERLY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "KRISHIA KEANNAH JEAN",
        "authorized_official_middle_name": "RAYOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-288-5869",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.