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LEISURE VILLAGE INC
NPI 1598936205
Assisted Living Facility in Lake Balboa, CA

Active since March 20, 2008
6726 GAVIOTA AVE, LAKE BALBOA, CA 91406(818) 402-7867(818) 774-0563 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leisure Village Inc NPPES

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

LEISURE VILLAGE INC (NPI 1598936205) is a healthcare organization registered as an assisted living facility in Lake Balboa, California and active in the NPI registry since March 2008. The organization lists Koke Ahankoob, President, as its authorized official.

NPPES Registry Identity

NPI1598936205
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLEISURE VILLAGE INC
Location Address6726 GAVIOTA AVELake Balboa, CA 91406-5944
Mailing Address19528 Ventura Blvd Ste 660Tarzana, CA 91356-2917 · (818) 386-8599 · Fax (818) 774-0563
Phone(818) 402-7867
Fax(818) 774-0563
Organization SubpartNo
Authorized OfficialKoke AhankoobPresident · (818) 402-7867
Enumeration DateMarch 20, 2008
✔ NPI 1598936205 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.
6726 GAVIOTA AVE, Lake Balboa, 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 Leisure Village Inc's NPI number?

The NPI number for Leisure Village Inc is 1598936205. It was assigned to this organization in the NPPES registry on March 20, 2008.

Where is Leisure Village Inc located?

Leisure Village Inc is located at 6726 Gaviota Ave, Lake Balboa, CA 91406. The listed phone number is (818) 402-7867.

What is Leisure Village 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 Leisure Village Inc was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.