VILLA BALBOA
NPI 1750783460
Residential Treatment Facility, Physical Disabilities in Northridge, CA

Active since September 24, 2014CLIA 05D2093644 · Waiver
16714 PARTHENIA ST, NORTHRIDGE, CA 91343(818) 891-2273(323) 654-2104 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Villa Balboa NPPES

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

VILLA BALBOA (NPI 1750783460) is a healthcare organization registered as a residential treatment facility, physical disabilities in Northridge, California and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Tatyana Dekadokh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750783460
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameCHOICE RESPICARE, INC.
Location Address16714 PARTHENIA STNorthridge, CA 91343-4609
Mailing Address16714 Parthenia StNorthridge, CA 91343-4609 · (818) 891-2273 · Fax (323) 654-2104
Fax(323) 654-2104
Organization SubpartNo
Authorized OfficialTatyana DekadokhCfo · (818) 891-2273
Enumeration DateSeptember 24, 2014
NPI 1750783460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
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.
16714 PARTHENIA ST, Northridge, CA 91343

Other Names 1

Doing Business AsVilla Balboa

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 05D2093644

Villa Balboa · Northridge, CA
Active · expires Mar 31, 2027
CLIA Number05D2093644
Laboratory TypeCongregate Living Health
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorElena Spektor, MD
Laboratory Phone(818) 891-2273
Laboratory LocationVilla Balboa16714 Parthenia St, Northridge, CA 91343
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Choice Respicare, Inc.'s NPI number?

The NPI number for Choice Respicare, Inc. is 1750783460. It was assigned to this organization in the NPPES registry on September 24, 2014. The provider is doing business as Villa Balboa.

Where is Choice Respicare, Inc. located?

Choice Respicare, Inc. is located at 16714 Parthenia St, Northridge, CA 91343. The listed phone number is (818) 891-2273.

What is Choice Respicare, Inc.'s specialty?

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

Does Choice Respicare, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2093644) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Choice Respicare, Inc. was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.