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AVENIDA LIVING HOME, INC.
NPI 1619336740
Residential Treatment Facility, Physical Disabilities in Thousand Oaks, CA

Active since February 17, 2016CLIA 05D2110188 · Waiver
2465 AVENIDA DE LAS PLANTAS, THOUSAND OAKS, CA 91360(805) 557-0010(805) 557-0020 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avenida Living Home, Inc. NPPES

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

AVENIDA LIVING HOME, INC. (NPI 1619336740) is a healthcare organization registered as a residential treatment facility, physical disabilities in Thousand Oaks, California and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Galina Blank, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1619336740
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameAVENIDA LIVING HOME, INC.
Location Address2465 AVENIDA DE LAS PLANTASThousand Oaks, CA 91360-6619
Mailing Address2465 Avenida De Las PlantasThousand Oaks, CA 91360-6619
Phone(805) 557-0010
Fax(805) 557-0020
Organization SubpartNo
Authorized OfficialGalina BlankManaging Member · (323) 428-4258
Enumeration DateFebruary 17, 2016
✔ NPI 1619336740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in CA · 550003098
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
2465 AVENIDA DE LAS PLANTAS, Thousand Oaks, CA 91360
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2110188

Avenida Living Home Inc. · Thousand Oaks, CA
Active · expires Mar 9, 2028
CLIA Number05D2110188
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorSuman Patel
Laboratory Phone(805) 557-0010
Laboratory LocationAvenida Living Home Inc.2465 Avenida De Las Plantas, Thousand Oaks, CA 91360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

AVENIDA LIVING HOME, INC.
Nursing Facility/Intermediate Care Facility
2465 AVENIDA DE LAS PLANTAS
THOUSAND OAKS, CA 91360
Ventura County (310) 435-7575

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 Avenida Living Home, Inc.'s NPI number?

The NPI number for Avenida Living Home, Inc. is 1619336740. It was assigned to this organization in the NPPES registry on February 17, 2016.

Where is Avenida Living Home, Inc. located?

Avenida Living Home, Inc. is located at 2465 Avenida De Las Plantas, Thousand Oaks, CA 91360. The listed phone number is (805) 557-0010.

What is Avenida Living Home, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Does Avenida Living Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2110188) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avenida Living Home, Inc. was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.