Ivan Banner Boarding Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IVAN BANNER BOARDING CARE

Practice address

39409 Daylily PL
Palmdale, CA 93551-4161

Phone

(661) 267-0779

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Cynthia TaylorNPI 1205526191

Title

Licensee

Phone

(661) 267-0779

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Taylor

  • Assisted Living Facility
  • Palmdale, CA
  • NPI 1205526191
  NPD Authorized official

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1891410585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39409 DAYLILY PL",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514161",
            "telephone_number": "661-267-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39409 DAYLILY PL",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514161",
            "telephone_number": "661-267-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN BANNER BOARDING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "661-267-0779"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute for Family Centered Services Inc. (Ca Mentor)
• Institute of Neurological Surgery
• Integrated Rehabilitation Medical Corp
• Interdisciplanary Pain Management
• Richard Alan Iosue, O.D.
• Ivy Elite Care LLC
• J. Yang Chiropractic Corp (Atlas Health Clinic-Palmdale)
• Judy Eva Jackson, PT
• Kalyse Danae Jackson, RN, NP
• Taiesha Jackson

• Assisted Living Facility in Palmdale, CA
• Providers in Palmdale, 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 Oct 5, 2022; 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.