Lake Balboa Elderly Living Care Inc
NPI 1255203840 · Assisted Living Facility · Van Nuys, CA
Lake Balboa Elderly Living Care Inc is a Assisted Living Facility organization in Van Nuys, CA (NPI 1255203840).
Provider details
- NPI number
- 1255203840
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Levon Khostikyan, Ceo(424) 303-8478
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-22
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Frequently asked questions
- What is Lake Balboa Elderly Living Care Inc's NPI number?
- Lake Balboa Elderly Living Care Inc's National Provider Identifier (NPI) is 1255203840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Balboa Elderly Living Care Inc?
- Lake Balboa Elderly Living Care Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Lake Balboa Elderly Living Care Inc located?
- Lake Balboa Elderly Living Care Inc's practice location on file with NPPES is 17221 Cantlay St, Van Nuys, CA 91406-2539.
- What is Lake Balboa Elderly Living Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Balboa Elderly Living Care Inc is (424) 303-8478.
- Who is the authorized official for Lake Balboa Elderly Living Care Inc?
- The authorized official listed on Lake Balboa Elderly Living Care Inc's NPPES record is Levon Khostikyan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Balboa Elderly Living Care Inc's NPI active?
- Yes — Lake Balboa Elderly Living Care Inc's NPI (1255203840) is active in the NPPES registry as of the last update on 2025-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.