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

NPI Status: Active since September 24, 2014

Contact Information

16714 PARTHENIA ST
NORTHRIDGE, CA
ZIP 91343
Phone: (818) 891-2273
Fax: (323) 654-2104

Get Directions Write a Review

  • Organization
  • Residential Treatment Facility, Physical...
  • CLIA Number: 05D2093644
  • CLIA Cert. Type: Other - CONGREGATE LIVING HEALTH
  • CLIA Exp. Date: 03-31-2027

About VILLA BALBOA

This page provides the complete NPI Profile along with additional information for Villa Balboa, a provider established in Northridge, California operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1750783460 assigned on September 2014. The practitioner's primary taxonomy code is 320700000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Villa Balboa. The authorized official of this NPI record is Mrs. Tatyana Dekadokh (Cfo)

NPI
1750783460
Provider Legal Name
CHOICE RESPICARE, INC.
Other Organization Name
VILLA BALBOA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16714 PARTHENIA ST NORTHRIDGE, CA 91343
Location Phone
(818) 891-2273
Location Fax
(323) 654-2104
Mailing Address
16714 PARTHENIA ST NORTHRIDGE, CA 91343
Mailing Phone
(818) 891-2273
Mailing Fax
(323) 654-2104
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2014
Last Update Date
09-24-2014
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. TATYANA DEKADOKH

Authorized Official Title
CFO
Authorized Official Phone
(818) 891-2273

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2093644
Facility Type
Other - CONGREGATE LIVING HEALTH
Certificate Effective Date
April 01, 2025
Certificate Expiration Date
March 31, 2027
Laboratory Director
ELENA SPEKTOR, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Villa Balboa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VILLA BALBOA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750783460
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001486412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 8 + 6 + 4 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750783460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750783460, enumerated as an "organization" on September 24, 2014.

The provider is located at 16714 PARTHENIA ST NORTHRIDGE, CA 91343 and the phone number is (818) 891-2273.

Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.