NPIMap

Organization Active NPI

Positive Lifestyles, LLC

  • Mental Illness Intermediate Care Facility
  • Delano, CA
National Provider Identifier
1891841607
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
12-0000429 Issued in CA
Legal business name
POSITIVE LIFESTYLES, LLC
Practice address
302 Balboa Dr
Delano, CA 93215-4007
Phone
(661) 725-7960
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dave Wheelock
Title
Owner
Phone
(661) 725-7960

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 12-0000428 CA
Mental Illness Intermediate Care Facility 310500000X 12-0000429 CA Primary

Addresses

Primary practice location

302 Balboa Dr
Delano, CA 93215-4007

Mailing address

PO Box 849
302 Balboa Drive
Delano, CA 93216-0849
Phone (661) 725-7960

Other identifiers 2

IdentifierTypeStateIssuer
LTC80114GOtherCALONG-TERM CARE FACILITY
LTC80113GOtherCALONG-TERM CARE FACILITY

National Provider Directory

National Provider Directory
Tax ID family
Positive Lifestyles LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1891841607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "address_2": "302 BALBOA DRIVE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932160849",
            "telephone_number": "661-725-7960",
            "fax_number": "661-725-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BALBOA DR",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932154007",
            "telephone_number": "661-725-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE LIFESTYLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "WHEELOCK",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-725-7960"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "CA",
            "license": "12-0000428",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "CA",
            "license": "12-0000429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LONG-TERM CARE FACILITY",
            "identifier": "LTC80114G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LONG-TERM CARE FACILITY",
            "identifier": "LTC80113G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.