LAKE BALBOA ELDERLY LIVING CARE INC
NPI 1255203840
Assisted Living Facility in Van Nuys, CA

Q: What is Lake Balboa Elderly Living Care Inc's NPI number?

The NPI number for Lake Balboa Elderly Living Care Inc is 1255203840. It was assigned to this organization in the NPPES registry on September 22, 2025.

Q: What is Lake Balboa Elderly Living Care Inc's specialty?

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

Active since September 22, 2025

17221 CANTLAY ST, VAN NUYS, CA 91406(424) 303-8478 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Lake Balboa Elderly Living Care Inc NPPES

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

LAKE BALBOA ELDERLY LIVING CARE INC (NPI 1255203840) is a healthcare organization registered as an assisted living facility in Van Nuys, California and active in the NPI registry since September 2025. The organization lists Levon Khostikyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255203840

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameLAKE BALBOA ELDERLY LIVING CARE INC

Location Address17221 CANTLAY STVan Nuys, CA 91406-2539

Mailing Address17221 Cantlay StVan Nuys, CA 91406-2539 · (424) 303-8478

Phone(424) 303-8478

Organization SubpartNo

Authorized OfficialLevon KhostikyanCeo · (424) 303-8478

Enumeration DateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1255203840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

17221 CANTLAY ST, Van Nuys, CA 91406

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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 Elderly Living Care Inc's NPI number?

The NPI number for Lake Balboa Elderly Living Care Inc is 1255203840. It was assigned to this organization in the NPPES registry on September 22, 2025.

Where is Lake Balboa Elderly Living Care Inc located?

Lake Balboa Elderly Living Care Inc is located at 17221 Cantlay St, Van Nuys, CA 91406. The listed phone number is (424) 303-8478.

What is Lake Balboa Elderly Living Care Inc'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 Lake Balboa Elderly Living Care Inc was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.