NPIMap

Organization Active NPI

Congregate Living Health Facility, Inc.

  • Skilled Nursing Facility
  • North Hollywood, CA
National Provider Identifier
1851720486
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CONGREGATE LIVING HEALTH FACILITY, INC.
Practice address
5440 Tujunga Ave
North Hollywood, CA 91601-4967
Phone
(805) 253-6708
Fax
(888) 640-4414
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Mr. Leander Jackson Jr.
Title
President / Owner
Phone
(805) 253-6708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5440 Tujunga Ave
North Hollywood, CA 91601-4967

Mailing address

5440 Tujunga Ave
North Hollywood, CA 91601-4967
Phone (805) 253-6708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1851720486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 TUJUNGA AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014967",
            "telephone_number": "805-253-6708",
            "fax_number": "888-640-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 TUJUNGA AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014967",
            "telephone_number": "805-253-6708",
            "fax_number": "888-640-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGREGATE LIVING HEALTH FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LEANDER",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "805-253-6708",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.