Healthy Life Congregate Care
NPI 1902268758 · Nursing Facility/Intermediate Care Facility · Simi Valley, CA
Healthy Life Congregate Care is a Nursing Facility/Intermediate Care Facility organization in Simi Valley, CA (NPI 1902268758).
Provider details
- NPI number
- 1902268758
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Edmond Derderyan, Ceo(805) 955-0057
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
10 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
- 2016-03-22
- Last updated
- 2016-03-22
Frequently asked questions
- What is Healthy Life Congregate Care's NPI number?
- Healthy Life Congregate Care's National Provider Identifier (NPI) is 1902268758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthy Life Congregate Care?
- Healthy Life Congregate Care is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Healthy Life Congregate Care located?
- Healthy Life Congregate Care's practice location on file with NPPES is 3011 Peoria Ave, Simi Valley, CA 93063-1654.
- What is Healthy Life Congregate Care's phone number?
- The practice phone number listed in the NPPES registry for Healthy Life Congregate Care is (805) 955-0057.
- Who is the authorized official for Healthy Life Congregate Care?
- The authorized official listed on Healthy Life Congregate Care's NPPES record is Edmond Derderyan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthy Life Congregate Care's NPI active?
- Yes — Healthy Life Congregate Care's NPI (1902268758) is active in the NPPES registry as of the last update on 2016-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.