LEISURE VILLAGE
NPI 1003360124
Assisted Living Facility in Tarzana, CA

Q: What is Leisure Village's NPI number?

The NPI number for Leisure Village is 1003360124. It was assigned to this organization in the NPPES registry on August 5, 2016.

Q: What is Leisure Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Leisure Village was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2016

19562 VENTURA BLVD STE 229, TARZANA, CA 91356(818) 585-2200 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Leisure Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEISURE VILLAGE (NPI 1003360124) is a healthcare organization registered as an assisted living facility in Tarzana, California and active in the NPI registry since August 2016. The organization lists Koke Ahankoob, President, as its authorized official.

NPPES Registry Identity

NPI1003360124

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameLEISURE VILLAGE

Location Address19562 VENTURA BLVD STE 229Tarzana, CA 91356-7126

Mailing Address19562 Ventura Blvd Ste 229Tarzana, CA 91356-7126 · (818) 585-2200

Phone(818) 585-2200

Organization SubpartNo

Authorized OfficialKoke AhankoobPresident · (818) 402-7867

Enumeration DateAugust 5, 2016

✔ NPI 1003360124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CA · 197607542

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

19562 VENTURA BLVD STE 229, Tarzana, CA 91356

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARCLIGHT HOSPICE, INC.

Hospice Care, Community Based

19562 VENTURA BLVD STE 229
TARZANA, CA 91356

Los Angeles County (747) 777-9545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leisure Village's NPI number?

The NPI number for Leisure Village is 1003360124. It was assigned to this organization in the NPPES registry on August 5, 2016.

Where is Leisure Village located?

Leisure Village is located at 19562 Ventura Blvd Ste 229, Tarzana, CA 91356. The listed phone number is (818) 585-2200.

What is Leisure Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Leisure Village was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.