LAKE BALBOA POST-ACUTE REHAB
NPI 1053396366
Skilled Nursing Facility in Van Nuys, CA

Active since December 08, 2005
16955 VANOWEN ST, VAN NUYS, CA 91406(818) 343-0700 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2024, May 27, 2021 (2 updates tracked since 2021).

About Lake Balboa Post-acute Rehab NPPES

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

LAKE BALBOA POST-ACUTE REHAB (NPI 1053396366) is a healthcare organization registered as a skilled nursing facility in Van Nuys, California and active in the NPI registry since December 2005. The organization lists Marc Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053396366
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKE BALBOA HEALTH CARE, INC.
Location Address16955 VANOWEN STVan Nuys, CA 91406-4542
Mailing Address25910 Acero Ste 350Mission Viejo, CA 92691-7908 · (949) 441-9258
Organization SubpartNo
Authorized OfficialMarc JohnsonCfo · (949) 373-8373
Enumeration DateDecember 8, 2005
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
NPI 1053396366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 920000005
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
16955 VANOWEN ST, Van Nuys, CA 91406

Other Names 1

Doing Business AsLake Balboa Post-acute Rehab

Other Identifiers 1

MedicaidZZT06180ICA

Other Providers at the Same Location NPPES 5

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

Occupational Therapist
16955 VANOWEN ST
VAN NUYS, CA 91406
Specialist
16955 VANOWEN ST
VAN NUYS, CA 91406
Specialist
16955 VANOWEN ST
VAN NUYS, CA 91406
Physical Therapy Assistant
16955 VANOWEN ST
VAN NUYS, CA 91406
Skilled Nursing Facility
16955 VANOWEN ST
VAN NUYS, CA 91406

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 Lake Balboa Health Care, Inc.'s NPI number?

The NPI number for Lake Balboa Health Care, Inc. is 1053396366. It was assigned to this organization in the NPPES registry on December 8, 2005. The provider is doing business as Lake Balboa Post-Acute Rehab.

Where is Lake Balboa Health Care, Inc. located?

Lake Balboa Health Care, Inc. is located at 16955 Vanowen St, Van Nuys, CA 91406. The listed phone number is (818) 343-0700.

What is Lake Balboa Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Lake Balboa Health Care, Inc. was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.