Lake Balboa Congregate Living
NPI 1508246034 · Skilled Nursing Facility · Lake Balboa, CA
Lake Balboa Congregate Living is a Skilled Nursing Facility organization in Lake Balboa, CA (NPI 1508246034).
Provider details
- NPI number
- 1508246034
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Gevorgyan, Ceo(818) 773-0700
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
11 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
- 2015-05-29
- Last updated
- 2015-05-29
Frequently asked questions
- What is Lake Balboa Congregate Living's NPI number?
- Lake Balboa Congregate Living's National Provider Identifier (NPI) is 1508246034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Balboa Congregate Living?
- Lake Balboa Congregate Living is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Lake Balboa Congregate Living located?
- Lake Balboa Congregate Living's practice location on file with NPPES is 17527 Covello St, Lake Balboa, CA 91406-2320.
- What is Lake Balboa Congregate Living's phone number?
- The practice phone number listed in the NPPES registry for Lake Balboa Congregate Living is (818) 773-0700.
- Who is the authorized official for Lake Balboa Congregate Living?
- The authorized official listed on Lake Balboa Congregate Living's NPPES record is John Gevorgyan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Balboa Congregate Living's NPI active?
- Yes — Lake Balboa Congregate Living's NPI (1508246034) is active in the NPPES registry as of the last update on 2015-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.