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KNOLLS WEST ASSISTED LIVING, LLC.
NPI 1497578330
Assisted Living Facility in Victorville, CA

Active since November 07, 2024
16890 GREEN TREE BLVD, VICTORVILLE, CA 92395(760) 245-0107(760) 843-1861 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2024, Nov 7, 2024 (2 updates tracked since 2024).

About Knolls West Assisted Living, Llc. NPPES

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

KNOLLS WEST ASSISTED LIVING, LLC. (NPI 1497578330) is a healthcare organization registered as an assisted living facility in Victorville, California and active in the NPI registry since November 2024. The organization lists Terronsay Elyse Whaley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497578330
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKNOLLS WEST ASSISTED LIVING, LLC.
Location Address16890 GREEN TREE BLVDVictorville, CA 92395-5618
Mailing Address16890 Green Tree BlvdVictorville, CA 92395-5618 · (760) 245-0107 · Fax (760) 843-1861
Phone(760) 245-0107
Fax(760) 843-1861
Organization SubpartNo
Authorized OfficialTerronsay Elyse WhaleyAdministrator · (760) 245-0107
Enumeration DateNovember 7, 2024
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1497578330 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.

16890 GREEN TREE BLVD, Victorville, CA 92395
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Other Names 1

Former Legal Business NameKnolls West Assisted Living, Llc.

Reviews for KNOLLS WEST ASSISTED LIVING, LLC.

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

EDWIN GULTOM COTA
Occupational Therapy Assistant
16890 GREEN TREE BLVD
VICTORVILLE, CA 92395
San Bernardino County (760) 245-5361
KNOLLS WEST POST ACUTE LLC
Skilled Nursing Facility
16890 GREEN TREE BLVD
VICTORVILLE, CA 92395
San Bernardino County (310) 266-1080
KNOLLS WEST ENTERPRISES
Skilled Nursing Facility
16890 GREEN TREE BLVD
VICTORVILLE, CA 92395
San Bernardino County (760) 245-5361

Frequently Asked Questions

What is KNOLLS WEST ASSISTED LIVING, LLC.'s NPI number?

The NPI number assigned to this healthcare provider is 1497578330, enumerated as an "organization" on November 07, 2024.

Where is the provider located?

The provider is located at 16890 GREEN TREE BLVD VICTORVILLE, CA 92395 and the phone number is (760) 245-0107.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.