Lake Balboa Elderly Living Care Inc
NPI 1255203840ActiveOrganization· Assisted Living Facility· Van Nuys, CA
Assisted Living Facility in Van Nuys, California, registered in NPPES in September 2025. The authorized official on file is Levon Khostikyan, Ceo.
Overview
| NPI | 1255203840 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2025 |
| Last updated in NPPES | Sep 22, 2025 |
| Certified by provider | Sep 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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