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ATWATER VILLAGE SOUTH
NPI 1407230246
Assisted Living Facility in Los Angeles, CA

Active since July 10, 2015
3454 PERLITA AVE, LOS ANGELES, CA 90039(323) 665-6893(323) 658-5533 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atwater Village South NPPES

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

ATWATER VILLAGE SOUTH (NPI 1407230246) is a healthcare organization registered as an assisted living facility in Los Angeles, California and active in the NPI registry since July 2015. The organization lists Boris Skutatovich, President, as its authorized official.

NPPES Registry Identity

NPI1407230246
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBORIS MANAGEMENT CORP
Location Address3454 PERLITA AVELos Angeles, CA 90039-1932
Mailing Address3454 Perlita AveLos Angeles, CA 90039-1932 · (323) 665-6893 · Fax (323) 658-5533
Phone(323) 665-6893
Fax(323) 658-5533
Organization SubpartNo
Authorized OfficialBoris SkutatovichPresident · (323) 610-2841
Enumeration DateJuly 10, 2015
Last NPPES UpdateJune 20, 2018
✔ NPI 1407230246 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 · 197608929
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.
3454 PERLITA AVE, Los Angeles, CA 90039
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Other Names 1

Doing Business AsAtwater Village South

Other Providers at the Same Location NPPES 2

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

MR. BORIS SKURATOVICH
Assisted Living Facility
3454 PERLITA AVE
LOS ANGELES, CA 90039
Los Angeles County (323) 665-6893
T MICHAEL,LLC
Assisted Living Facility
3454 PERLITA AVE
LOS ANGELES, CA 90039
Los Angeles County (323) 876-6370

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 Boris Management Corp's NPI number?

The NPI number for Boris Management Corp is 1407230246. It was assigned to this organization in the NPPES registry on July 10, 2015. The provider is doing business as Atwater Village South.

Where is Boris Management Corp located?

Boris Management Corp is located at 3454 Perlita Ave, Los Angeles, CA 90039. The listed phone number is (323) 665-6893.

What is Boris Management Corp'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 Boris Management Corp was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.