LIFESTYLE BOARD AND CARE, INC
NPI 1053059378
Custodial Care Facility - Adult Care Home in Carson, CA

Active since May 25, 2022
149 E 235TH ST, CARSON, CA 90745(310) 834-9325 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifestyle Board And Care, Inc NPPES

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

LIFESTYLE BOARD AND CARE, INC (NPI 1053059378) is a healthcare organization registered as an adult care home in Carson, California and active in the NPI registry since May 2022. The organization lists William Gallios, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053059378
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLIFESTYLE BOARD AND CARE, INC
Location Address149 E 235TH STCarson, CA 90745-5318
Mailing Address149 E 235th StCarson, CA 90745-5318 · (310) 834-9325
Organization SubpartNo
Authorized OfficialWilliam GalliosOffice Manager · (702) 290-3235
Enumeration DateMay 25, 2022
NPPES CertifiedMay 25, 2022
NPI 1053059378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
149 E 235TH ST, Carson, CA 90745

Other Identifiers 1

Other198320092CA · State License

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 Lifestyle Board And Care, Inc's NPI number?

The NPI number for Lifestyle Board And Care, Inc is 1053059378. It was assigned to this organization in the NPPES registry on May 25, 2022.

Where is Lifestyle Board And Care, Inc located?

Lifestyle Board And Care, Inc is located at 149 E 235th St, Carson, CA 90745. The listed phone number is (310) 834-9325.

What is Lifestyle Board And Care, Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Lifestyle Board And Care, Inc was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.