Leisure Village Inc
NPI 1366991135 · Assisted Living Facility · Lake Balboa, CA
Leisure Village Inc is a Assisted Living Facility organization in Lake Balboa, CA (NPI 1366991135).
Provider details
- NPI number
- 1366991135
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Koke Ahankoob, President(818) 585-2200
- License
- 197607543 (CA)
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
9 yrs in NPPES 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
- 2016-09-22
- Last updated
- 2016-09-22
Frequently asked questions
- What is Leisure Village Inc's NPI number?
- Leisure Village Inc's National Provider Identifier (NPI) is 1366991135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leisure Village Inc?
- Leisure Village Inc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Leisure Village Inc located?
- Leisure Village Inc's practice location on file with NPPES is 6728 Gaviota Ave, Lake Balboa, CA 91406-5944.
- What is Leisure Village Inc's phone number?
- The practice phone number listed in the NPPES registry for Leisure Village Inc is (818) 585-2200.
- Who is the authorized official for Leisure Village Inc?
- The authorized official listed on Leisure Village Inc's NPPES record is Koke Ahankoob, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leisure Village Inc's NPI active?
- Yes — Leisure Village Inc's NPI (1366991135) is active in the NPPES registry as of the last update on 2016-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.